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DSHS Form 02-611 Statement of Understanding: Mid-certification Review - Washington
What Is DSHS Form 02-611?
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?A: DSHS stands for the Washington State Department of Social and Health Services.
Q: What is Form 02-611?A: Form 02-611 is a statement of understanding for the Mid-certification Review process.
Q: What is the Mid-certification Review?A: The Mid-certification Review is a process where the DSHS reviews the eligibility of individuals receiving benefits.
Q: Who needs to complete Form 02-611?A: Individuals undergoing the Mid-certification Review need to complete Form 02-611.
Q: What does Form 02-611 do?A: Form 02-611 ensures that individuals understand the Mid-certification Review process and their responsibilities during the review.
Q: What happens if I don't complete Form 02-611?A: Failure to complete Form 02-611 may result in a delay or termination of your benefits.
Q: Do I need to submit any documents with Form 02-611?A: You may need to submit additional documents, such as proof of income or residency, along with Form 02-611.
Q: Can I get help filling out Form 02-611?A: Yes, you can seek assistance from DSHS staff or community organizations to help you fill out Form 02-611.
Q: Is Form 02-611 only for residents of Washington?A: Yes, Form 02-611 is specific to residents of Washington who receive benefits through DSHS.
Form Details:
- Released on June 1, 2015;
- 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;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 02-611 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
