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DSHS Form 14-514 Your Responsibility to Pay Towards Costs of Care at the Residential Habilitation Center - Washington
What Is DSHS Form 14-514?
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 14-514?A: DSHS Form 14-514 is a form that outlines your responsibility to pay towards the costs of care at the Residential Habilitation Center in Washington.
Q: What is the Residential Habilitation Center?A: The Residential Habilitation Center is a facility in Washington that provides care and support for individuals with disabilities.
Q: Who is responsible for paying towards the costs of care at the Residential Habilitation Center?A: You, as the individual receiving care, are responsible for paying towards the costs of care at the Residential Habilitation Center.
Q: What does DSHS stand for?A: DSHS stands for the Department of Social and Health Services.
Q: Is payment towards the costs of care at the Residential Habilitation Center mandatory?A: Yes, payment towards the costs of care at the Residential Habilitation Center is mandatory.
Q: What if I cannot afford to pay towards the costs of care at the Residential Habilitation Center?A: If you cannot afford to pay towards the costs of care, you may be eligible for financial assistance or a payment plan. Contact the Department of Social and Health Services for more information.
Q: Are there any exceptions to the payment requirement?A: There may be exceptions to the payment requirement based on your income or other circumstances. Contact the Department of Social and Health Services for more information.
Q: What happens if I do not pay towards the costs of care at the Residential Habilitation Center?A: If you do not pay towards the costs of care, the Department of Social and Health Services may take legal action to recover the unpaid amount.
Q: Can I appeal a decision regarding my responsibility to pay towards the costs of care?A: Yes, you have the right to appeal a decision regarding your responsibility to pay towards the costs of care. Contact the Department of Social and Health Services for more information on the appeals process.
Form Details:
- Released on November 1, 2014;
- 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 14-514 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 14-514 Your Responsibility to Pay Towards Costs of Care at the Residential Habilitation Center - Washington
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