DSHS Form 09-728 Washington State Addendum to Box 2 of Part B - Plan Administrator Response - Washington (Russian)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on January 1, 2008;
• 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 09-728 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.