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WA DSHS 14-001 2014 free printable template

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See www. dshs. wa.gov for locations. Fax your application to 1-888-338-7410 Mail your application to the following DSHS CSD-Customer Service Center PO Box 11699 Tacoma WA 98411-6699 You can also apply online at www. washingtonconnection.org For health care coverage you must apply either online at www. wahealthplanfinder. org by calling 1-855-923-4633 or by using the HCA Application for Health Care Coverage HCA 18-001. How soon can I receive help with food and cash assistance If you need...
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WA DSHS 14-001 Form Versions

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How to fill out WA DSHS 14-001

01
Begin by downloading the WA DSHS 14-001 form from the official website.
02
Read through the form instructions carefully to understand the requirements.
03
Fill in your personal information, including your name, address, and contact details in the designated sections.
04
Provide any relevant information requested regarding your income and family size.
05
Complete the sections related to the specific program you are applying for.
06
If applicable, list any additional information or documents you are submitting with the form.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form at the bottom.
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Submit the form as instructed, either by mail or online, depending on the requirements.

Who needs WA DSHS 14-001?

01
Individuals and families seeking assistance through the Washington State Department of Social and Health Services (DSHS).
02
People applying for benefits such as food assistance, Medicaid, or financial support.
03
Anyone who needs to report changes in their circumstances that may affect their benefits.
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People Also Ask about

Who is eligible for this program? Household Size*Maximum Income Level (Per Year)1$27,1802$36,6203$46,0604$55,5004 more rows
How to Apply For Basic Food Benefits: You can apply for Basic Food Assistance online, by phone at 877-501-2233 or at your local Community Services Office.
Income limit for the SNAP program One person in the household: $25,760. Two people in the household: $34,840. Three people in the household: $43,920.
For example, if we needed proof of who you are, you could provide us a driver's license, a birth certificate, or a passport. Any of these items would prove to us who you are. Common things we need to verify are: Identity.
Compose your message and add any file attachments by clicking Add attachment button and browsing to the file. Click send to send the message securely to DSHS. If you wish to save an unsent message to be completed or sent later, you can save the message as a draft. New draft messages are saved to the Drafts folder.
Washington State Department of Social and Health Services.
Generally, most food stamp and TANF cash benefits are processed within 30 days.
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.
Basic Food Allotment 15% Increase- Maximum allotments for food assistance were increased by 15% from January 2021 to Sept. 30, 2021 as approved by U.S. Congress.
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.
Most DSHS offices are open 8 a.m. to 5 p.m. Monday through Friday and closed weekends and holidays.
Did you lose your EBT Card, or need to report a stolen EBT card? Call Fidelity Information Services (FIS) at 1-888-328-9271. A replacement card will be mailed to you within 5-10 business days. You can also check your EBT account by going to the Fidelity Information Services EBT Account website.
Gross monthly income — that is, household income before any of the program's deductions are applied — generally must be at or below 130 percent of the poverty line. For a family of three, the poverty line used to calculate SNAP benefits in federal fiscal year 2023 is $1,920 a month.
The State of Washington Secure Email Portal (Secure Email Portal) is a secure way to compose, receive, view, reply to and forward encrypted messages over the Internet. Messages are encrypted individually for each recipient and include a certified time stamp.
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.

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WA DSHS 14-001 is a form used by the Washington State Department of Social and Health Services for reporting specific information related to the administration of services or programs.
Individuals or organizations that are participants in specific DSHS programs or have received certain services may be required to file WA DSHS 14-001.
To fill out WA DSHS 14-001, you need to provide accurate information as requested on the form, including personal details, service information, and any other required documentation.
The purpose of WA DSHS 14-001 is to gather necessary data for program management, compliance, and to ensure that services are delivered effectively to the eligible populations.
The information that must be reported on WA DSHS 14-001 typically includes personal identification details, service utilization data, and any pertinent financial information related to the services received.
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