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DSHS Form 27-189 Asset Verification Authorization - Washington (Lao)
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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DSHS Form 27-189?A: The DSHS Form 27-189 is an Asset Verification Authorization form used in Washington.
Q: What is the purpose of the form?A: The form is used to authorize the Washington State Department of Social and Health Services (DSHS) to verify an individual's assets for eligibility determination.
Q: Who needs to fill out the form?A: Anyone applying for or receiving certain benefits from DSHS may need to fill out this form.
Q: How do I fill out the form?A: The form requires you to provide personal information, such as your name, date of birth, and social security number, as well as information about your assets.
Form Details:
- Released on January 1, 2021;
- 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 27-189 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
