DSHS Form 18-484 Automatic Payment Authorization - Washington (Russian)

DSHS Form 18-484 Automatic Payment Authorization - 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.

FAQ

Q: What is DSHS Form 18-484?A: DSHS Form 18-484 is a form used for automatic payment authorization in Washington state.

Q: What does the form authorize?A: The form authorizes automatic payments for specified services in Washington.

Q: What is the purpose of DSHS Form 18-484?A: The purpose of the form is to provide a convenient way for individuals to authorize automatic payments for certain services.

Q: Who should use DSHS Form 18-484?A: Anyone in Washington who wants to authorize automatic payments for specified services should use this form.

Q: Is DSHS Form 18-484 available in Russian?A: Yes, the form is available in Russian.

Q: Can I use DSHS Form 18-484 in other states?A: No, this form is specific to Washington state.

Q: Are there any fees associated with using DSHS Form 18-484?A: No, there are no fees associated with using this form.

Q: How long does it take for automatic payment authorization to take effect?A: The authorization typically takes effect within 30 days of submitting the form.

Q: Can I cancel or modify the automatic payment authorization?A: Yes, you can cancel or modify the authorization by submitting a new form to the relevant department.

Q: What services can I use the automatic payment authorization for?A: The specific services for which you can use this authorization will be listed on the form.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2016;
  • 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;

Download a printable version of DSHS Form 18-484 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 18-484 Automatic Payment Authorization - Washington (Russian)

4.7 of 5 (26 votes)
  • DSHS Form 18-484 Automatic Payment Authorization - Washington (Russian)

    1

  • DSHS Form 18-484 Automatic Payment Authorization - Washington (Russian), Page 2

    2

  • DSHS Form 18-484 Automatic Payment Authorization - Washington (Russian), Page 1
  • DSHS Form 18-484 Automatic Payment Authorization - Washington (Russian), Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents