DSHS Form 09-013 Vendor Affidavit of Lost, Stolen, or Destroyed Warrant - Washington

DSHS Form 09-013 Vendor Affidavit of Lost, Stolen, or Destroyed Warrant - Washington

What Is DSHS Form 09-013?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 09-013 Vendor Affidavit of Lost, Stolen, or Destroyed Warrant?
A: Form 09-013 is a document used in Washington to report the loss, theft, or destruction of a warrant.

Q: Who needs to fill out Form 09-013?
A: Vendors who have lost, had stolen, or destroyed a warrant issued by Washington State Department of Social and Health Services (DSHS) need to fill out this form.

Q: What information is required on Form 09-013?
A: Form 09-013 requires information such as the vendor's name, contact information, warrant details, and a statement describing the circumstances of the loss, theft, or destruction.

Q: How should I submit Form 09-013?
A: Completed Form 09-013 should be submitted to the Washington State Department of Social and Health Services (DSHS) using the contact information provided on the form.

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Form Details:

  • Released on June 1, 2016;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 09-013 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 09-013 Vendor Affidavit of Lost, Stolen, or Destroyed Warrant - Washington

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