Form preview

WA DSHS 14-057B 2013-2025 free printable template

Get Form
STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES DIVISION OF CHILD SUPPORT (DCS) Noncustodial Parent Child Support Enforcement Application Please answer each question as completely as
pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign dshs washington form

Edit
Edit your washington dshs child form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your dshs wa form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit wa dshs online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit dshs application form. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out wa dshs child form

Illustration

How to fill out WA DSHS 14-057B

01
Start with the applicant's personal information: Full name, address, phone number, and email.
02
Indicate the type of assistance being requested and the relevant program.
03
Fill in details about household members: Names, relationships, and dates of birth.
04
Provide income information, including sources and amounts for each household member.
05
Complete the section on expenses by listing regular monthly expenses such as housing, utilities, and childcare.
06
Sign and date the form at the bottom to certify that the information provided is true and complete.

Who needs WA DSHS 14-057B?

01
Individuals or families applying for public assistance programs through Washington State Department of Social and Health Services (DSHS) may need WA DSHS 14-057B.
Fill child support washington : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate free child support wa form
4.8
Satisfied
112 Votes

People Also Ask about 2013 wa enforcement

Washington State Department of Social and Health Services.
What do you get? How do you get it? You are eligible if you: live in Washington State, and are pregnant, a new mother, or a child under five years of age, and meet the income guidelines, and have a medical or nutrition need.
Services are available at your local Community Services Office and by phone through the Customer Service Contact Center at 877-501-2233: TTY/TDD users dial 1-800-833-6384 for Washington Relay Service.
Call us between 8AM and 3PM, Monday through Friday, at 1-877-501-2233; or. Visit us in person from 8AM-3PM, Monday through Friday at any local office. You can use the office locator to find your local DSHS Community Services Office.
You can apply for Basic Food Assistance online, by phone at 877-501-2233 or at your local Community Services Office.
What do you get? How do you get it? You are eligible if you: live in Washington State, and are pregnant, a new mother, or a child under five years of age, and meet the income guidelines, and have a medical or nutrition need.
Monthly benefits amount for Basic Food Household sizeMaximum monthly benefit allotment1$2812$5163$7404$9391 more row • Mar 21, 2023
Clarifying Information - WAC 388-414-0001 200 percent of Federal Poverty (FPL) based on Federal Poverty Guidelines published January 2023. April 1, 2023 – March 31, 20241$2430$6,7132$3,287$7,5703$4,143$8,4274$5,000$9,2833 more rows
200% of federal poverty level Family SizeMonthly1$2,4302$3,2873$4,1434$5,0004 more rows • Mar 21, 2023

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Yes. You can use pdfFiller to sign documents and use all of the features of the PDF editor in one place if you add this solution to Chrome. In order to use the extension, you can draw or write an electronic signature. You can also upload a picture of your handwritten signature. There is no need to worry about how long it takes to sign your washington dshs form.
On your mobile device, use the pdfFiller mobile app to complete and sign washington dshs form. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to discover more about our mobile applications, the features you'll have access to, and how to get started.
Install the pdfFiller app on your iOS device to fill out papers. Create an account or log in if you already have one. After registering, upload your washington dshs form. You may now use pdfFiller's advanced features like adding fillable fields and eSigning documents from any device, anywhere.
WA DSHS 14-057B is a form used by the Washington State Department of Social and Health Services (DSHS) for reporting specific information related to social services.
Individuals and organizations that provide certain services or support to clients in the Washington DSHS system are required to file WA DSHS 14-057B.
To fill out WA DSHS 14-057B, one must provide accurate information as requested on the form, including client details, service description, and any required documentation.
The purpose of WA DSHS 14-057B is to standardize the reporting process for service providers and ensure that DSHS collects necessary data for service evaluation and funding.
The information that must be reported on WA DSHS 14-057B includes client identification, type of services provided, dates of service, and any relevant assessments or outcomes.
Fill out your washington dshs form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.