DCYF Form 14-011 Enrollment Application Medical and Dental Benefits - Washington

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DCYF Form 14-011 Enrollment Application Medical and Dental Benefits - Washington

What Is DCYF Form 14-011?

This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 DCYF Form 14-011?
A: The DCYF Form 14-011 is an Enrollment Application for Medical and Dental Benefits in Washington.

Q: What does this form do?
A: This form is used to apply for medical and dental benefits in Washington through the DCYF.

Q: Who can use this form?
A: This form is for individuals who want to apply for medical and dental benefits through the DCYF in Washington.

Q: What information is needed on the form?
A: The form requires personal information, income details, and other information about the applicant and their household members.

Q: Is there a fee for submitting this form?
A: No, there is no fee for submitting the DCYF Form 14-011.

Q: Can I apply for benefits for someone else using this form?
A: Yes, you can apply for benefits for someone else using this form, provided you have the necessary information and are authorized to do so.

Q: How long does it take to process this application?
A: The processing time for the DCYF Form 14-011 application can vary, but it typically takes about 45 days for a decision to be made.

Q: What should I do if I have questions about this form or the application process?
A: If you have questions about the DCYF Form 14-011 or the application process, you can contact the DCYF offices for assistance.

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Form Details:

  • Released on October 1, 2021;
  • The latest edition provided by the Washington State Department of Children, Youth, and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DCYF Form 14-011 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.

Download DCYF Form 14-011 Enrollment Application Medical and Dental Benefits - Washington

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