WA DSHS 09-741 2013-2026 free printable template

FG VER 1. 10 CHILD SUPPORT ORDER REVIEW REQUEST DSHS 09-741 REV. 07/2013 Page 1 REQUESTER S NAME Except for your signature print your responses. STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES DIVISION OF CHILD SUPPORT DCS Child Support Order Review Request TO RE CASE NUMBER DATE Program Information You asked the Division of Child Support DCS to modify change or adjust your child support order. You have two options to help you modify or adjust your order. 1. File an action in...

How to fill out WA DSHS 09-741

How to fill out WA DSHS 09-741

1. Begin by downloading the WA DSHS 09-741 form from the official website.
2. Enter your personal information in the designated fields, including your name, address, and contact details.
3. Provide information about your household, including the names and ages of all members.
4. Fill out details regarding your income sources, including employment, benefits, and any other earnings.
5. Review the section on expenses and list any relevant monthly costs, such as housing, utilities, and childcare.
6. Sign and date the form to certify that the information provided is accurate.
7. Submit the completed form through the specified method (mail, online, or in-person) as indicated in the instructions.

Who needs WA DSHS 09-741?

1. Individuals or families applying for financial assistance or social services through the Washington Department of Social and Health Services.
2. Anyone who is seeking resources related to food assistance, healthcare, or other support programs provided by DSHS.

People Also Ask about

What is the DSHS stop work form for Washington state?

Stop Work Questionnaire (form 14-438) This form is used when you stop work or self employment. The form should be signed by you but must be completed by your employer. Your employer can also complete this form On-Line.

How do I renew my food stamps in Washington state?

You can renew your benefits online with a Washington Connection account. If you'd rather renew in person, call your caseworker, local office, or Washington's Customer Service Contact Center (1-877-501-2233) to find out how.

How do I speak to someone at EBT Washington State?

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. Apply for benefits or submit documents. 9 a.m. to 4 p.m.: Pick up an EBT card in the office.

How do I file a complaint against DSHS Washington State?

Worker Responsibilities - WAC 388-426-0005 How to make a complaint. Their right to talk to a supervisor. Their option to call customer relations at 1-800-865-7801. Their right to ask for an administrative hearing.

What is the medical assistance program in Washington state?

Washington Apple Health (Medicaid) is free or low-cost health care coverage for individuals who meet the eligibility requirements. Apple Health covers physical and behavioral health services, including mental health and substance use disorder treatment services.

How do I check the status of my food stamps in Washington?

You can check the status of a paper application or an application that was completed in person on the Documents Submitted page once you have created a CBA. You can also visit a local office or call the Customer Service Contact Center at 1-877-501-2233.

How do I contact DSHS Washington?

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.

What does DSHS stand for in Washington state?

DSHS. Department of Social and Health Services.

What does the Washington State DSHS do?

Administers programs designed to assist individuals with developmental disabilities and their families to obtain services and supports based on individual preferences, capabilities, and needs.

What will they ask me in a snap interview?

You will be required to confirm your legal name, birthdate, Social Security number, citizenship status, and current residence at the start of the interview. Typically, the interviewer will also inquire about your financial status, including any bank accounts, retirement savings, and stock holdings.

What is the maximum income to qualify for Medicaid in Washington state?

Income & Asset Limits for Eligibility 2023 Washington Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Income LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$3,000Medicaid Waivers / Home and Community Based Services$2,742 / month†$3,0001 more row • Jan 3, 2023

What is the income limit for food stamps in Washington state?

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

What documents do you need for food stamps in Washington state?

You must provide proof of: • Your identity; • Family income; • Immigration status of any non-citizen household members, including sponsor's income and resource information if applicable. We may also ask you to provide proof of any unclear information.

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What is WA DSHS 09-741?

WA DSHS 09-741 is a form used by the Washington State Department of Social and Health Services to collect information for various social services, including assessments and eligibility determinations.

Who is required to file WA DSHS 09-741?

Individuals applying for certain social services or benefits administered by the Washington State DSHS may be required to file WA DSHS 09-741.

How to fill out WA DSHS 09-741?

To fill out WA DSHS 09-741, individuals should provide accurate personal information, answer all relevant questions about their situation, and attach any necessary documentation as instructed.

What is the purpose of WA DSHS 09-741?

The purpose of WA DSHS 09-741 is to gather necessary information to assess the eligibility of individuals for various state-funded assistance programs and to ensure appropriate service delivery.

What information must be reported on WA DSHS 09-741?

Information that must be reported on WA DSHS 09-741 includes personal identification details, income and employment status, household composition, and any other relevant information that affects eligibility for services.