DSHS Form 14-078 Eligibility Review - Washington

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-078 for the current year.

DSHS Form 14-078 Eligibility Review - Washington

What Is DSHS Form 14-078?

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 the DSHS Form 14-078?
A: The DSHS Form 14-078 is an eligibility review form used in Washington.

Q: What is the purpose of the eligibility review?
A: The eligibility review is conducted to determine if an individual is still eligible for certain benefits.

Q: Who is required to complete the DSHS Form 14-078?
A: Individuals receiving certain benefits in Washington may be required to complete this form.

Q: What benefits are covered in the DSHS Form 14-078?
A: The form covers benefits such as cash assistance, medical assistance, and food assistance.

Q: When is the DSHS Form 14-078 due?
A: The due date for the form will be specified in the notification you receive from DSHS.

Q: What happens if I don't complete the form?
A: Failure to complete the form may result in a loss or reduction of benefits.

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Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Romanian;
  • 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 14-078 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 14-078 Eligibility Review - Washington

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