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DSHS Form 14-416 Eligibility Review for Long Term Services and Supports - 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 DSHS Form 14-416?
A: DSHS Form 14-416 is the Eligibility Review for Long Term Services and Supports in Washington.
Q: What does this form assess?
A: This form assesses eligibility for long-term services and supports.
Q: Who is this form for?
A: This form is for individuals in Washington who are seeking long-term services and supports.
Q: What is the purpose of the eligibility review?
A: The purpose of the eligibility review is to determine if an individual meets the criteria for receiving long-term services and supports.
Form Details:
- Released on July 1, 2022;
- 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 14-416 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 14-416 Eligibility Review for Long Term Services and Supports - Washington (Lao)
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