PDF
Word
DSHS Form 01-110 Protective Payee Report - Washington
What Is DSHS Form 01-110?
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 DSHS Form 01-110?A: DSHS Form 01-110 is the Protective Payee Report used in Washington.
Q: Who uses DSHS Form 01-110?A: The DSHS Form 01-110 is used by protective payees in Washington.
Q: What is a protective payee?A: A protective payee is a person appointed by DSHS to manage Social Security or SSI benefits on behalf of a recipient who is unable to manage their finances.
Q: What information is included in DSHS Form 01-110?A: DSHS Form 01-110 includes information about the recipient, their financial situation, and the payee's management of their benefits.
Form Details:
- Released on February 1, 1999;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 01-110 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 01-110 Protective Payee Report - Washington
1
2
