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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 07-104
for the current year.
DSHS Form 07-104 Financial Communication to Social Services - Washington
What Is DSHS Form 07-104?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
FAQ
Q: What is the purpose of DSHS Form 07-104?
A: DSHS Form 07-104 is used for financial communication with social services in Washington.
Q: Who needs to complete DSHS Form 07-104?
A: Individuals or families applying for or receiving assistance from social services in Washington may need to complete this form.
Q: What information is required on DSHS Form 07-104?
A: The form typically requires information about income, assets, expenses, and liabilities.
Q: How should I submit DSHS Form 07-104?
A: You can typically submit the form by mail, in person at a local office, or electronically, depending on the instructions provided by social services.
Q: What happens after I submit DSHS Form 07-104?
A: Social services will review the information provided on the form to determine eligibility for assistance or to update existing benefits.
Form Details:
- Released on April 1, 2017;
- 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 07-104 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 07-104 Financial Communication to Social Services - Washington
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