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235709

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This document is used for requesting the automated minimum distribution from a Governmental 457(B) Plan in Washington.

This form is used for beneficiaries, estates, and successors to request a withdrawal from Plan 3 in the state of Washington.

This form is used for reporting basic food workfare activities in Washington state. It is available in Somali language.

This Form is used for withdrawing a fair hearing request in Washington state. This form is available in Tagalog.

This form is used for withdrawing a fair hearing request in Washington state. It is available in Somali language.

This document is for withdrawing a fair hearing request in the state of Washington. It is available in Punjabi.

This form is used for withdrawing a request for a fair hearing in the state of Washington.

This document is used for withdrawing from a fair hearing related to DSHS (Department of Social and Health Services) in Washington state.

This form is used for making annuity payments under the Washington State Employee Plans.

This document is a DSHS Formulario 02-611 Declaracion De Entendimiento: Revision Intermedia De Certificacion specific to the state of Washington. It is used for declaring understanding and certification during an intermediate review.

This form is used for the mid-certification review process in Washington to ensure recipients of DSHS benefits understand their rights and responsibilities. The form is available in Tagalog for non-English speakers.

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