Get the free DSHS Form 14-264 LP "Application for Telecommunications ...
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Removing communication barriers for people who are Deaf Hard of Hearing LateDeafened Dealing Speech DisabledApplication for Telecommunication Equipment The Office of the Deaf and Hard of Hearing (DHH)
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How to fill out dshs form 14-264 lp
How to fill out dshs form 14-264 lp
01
To fill out DSHS form 14-264 LP, follow these steps:
02
Gather all necessary information and documents, such as personal details, income information, and medical records.
03
Start by providing your personal information, including your name, address, phone number, and Social Security number.
04
Fill out the sections related to your income, including wages, benefits, and any other sources of income.
05
Provide details about your household, including the number of people living with you and their relationship to you.
06
Include information about your medical expenses and any health insurance coverage you may have.
07
Complete the declaration section, certifying that the information you have provided is true and accurate.
08
Review the form, making sure all fields are filled out correctly and any required attachments are included.
09
Sign and date the form.
10
Submit the completed form as instructed by the DSHS.
Who needs dshs form 14-264 lp?
01
DSHS form 14-264 LP is needed by individuals who are applying for or receiving long-term care services from the Washington State Department of Social and Health Services (DSHS). This form is specifically for the Long-Term Care (LTC) program, which helps eligible individuals pay for long-term care services, such as nursing home care or in-home care. If you or a loved one requires long-term care services and meets the eligibility criteria, you may need to fill out this form to apply for assistance.
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What is dshs form 14-264 lp?
dshs form 14-264 lp is a form used by the Washington State Department of Social and Health Services (DSHS) for reporting income and resources.
Who is required to file dshs form 14-264 lp?
Individuals receiving benefits from DSHS programs may be required to file dshs form 14-264 lp.
How to fill out dshs form 14-264 lp?
To fill out dshs form 14-264 lp, individuals need to provide information about their income, resources, and household members as requested on the form.
What is the purpose of dshs form 14-264 lp?
The purpose of dshs form 14-264 lp is to determine eligibility for DSHS programs and calculate benefit amounts.
What information must be reported on dshs form 14-264 lp?
Information such as income, resources, and household composition must be reported on dshs form 14-264 lp.
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