Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form HCA20-0061 for the current year.

Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington

What Is Form HCA20-0061?

This is a legal form that was released by the Washington State Health Care Authority - 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 Form HCA20-0061?A: Form HCA20-0061 is the Sebb Certification of a Child With a Disability form in Washington.

Q: What is the purpose of Form HCA20-0061?A: The purpose of Form HCA20-0061 is to certify a child with a disability for the Sebb program in Washington.

Q: Who should fill out Form HCA20-0061?A: The parent or guardian of the child with a disability should fill out Form HCA20-0061.

Q: What information is required on Form HCA20-0061?A: Form HCA20-0061 requires information about the child's disability and the parent or guardian's contact information.

Q: What if I need help filling out Form HCA20-0061?A: If you need help filling out Form HCA20-0061, you can contact the Washington State Health Care Authority for assistance.

Q: What happens after I submit Form HCA20-0061?A: After you submit Form HCA20-0061, the Washington State Health Care Authority will review the form and determine if the child is eligible for the Sebb program.

Q: Can I appeal if my child's certification is denied?A: Yes, if your child's certification is denied, you have the right to appeal the decision.

ADVERTISEMENT

Form Details:

  • Released on February 1, 2022;
  • The latest edition provided by the Washington State Health Care Authority;
  • 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 Form HCA20-0061 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington

4.8 of 5 (16 votes)
  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington

    1

  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 2

    2

  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 3

    3

  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 4

    4

  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 5

    5

  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 6

    6

  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 1
  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 2
  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 3
  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 4
  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 5
  • Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington, Page 6
Prev 1 2 3 4 5 6 Next
ADVERTISEMENT

Related Documents