DSHS Form 14-467 Mid-certification 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 14-467 for the current year.

DSHS Form 14-467 Mid-certification Review - Washington

What Is DSHS Form 14-467?

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 14-467?
A: The DSHS Form 14-467 is a Mid-certification Review form used in Washington.

Q: What is the purpose of the Mid-certification Review?
A: The Mid-certification Review is conducted by the Department of Social and Health Services (DSHS) in Washington to determine ongoing eligibility for benefits.

Q: Who needs to complete the DSHS Form 14-467?
A: People receiving benefits in Washington need to complete the DSHS Form 14-467 for the Mid-certification Review.

Q: What information is required on the DSHS Form 14-467?
A: The DSHS Form 14-467 asks for updated information about your household, income, expenses, and any changes that may affect your eligibility for benefits.

Q: How often is the Mid-certification Review required?
A: The Mid-certification Review is typically required every six months, but it may vary depending on individual circumstances.

Q: What happens if I don't complete the DSHS Form 14-467?
A: If you don't complete the DSHS Form 14-467 for the Mid-certification Review, your benefits may be suspended or terminated.

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Form Details:

  • Released on September 1, 2021;
  • 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;
  • Fill out the form in our online filing application.

Download a printable version of DSHS Form 14-467 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 14-467 Mid-certification Review - Washington

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