Get the free dshs stop work form - www1 dshs wa

CSO/WORKER NAME TELEPHONE NUMBER STOP WORK CLIENT IDENTIFICATION NUMBER DATE Section 1: Fill out this section before taking it to your job that has ended. By signing here, I give my permission to

How to fill out dshs stop work form

How to fill out WA DSHS 14-438

1. Obtain a copy of the WA DSHS 14-438 form from the DSHS website or local office.
2. Fill out the personal information section, including your name, address, and contact information.
3. Provide information about your household members, including their names and relationships to you.
4. Complete the income section by detailing all sources of income for you and your household members, including wages, benefits, and any other income.
5. Describe your expenses, including housing costs, utilities, and any other relevant expenses.
6. Check the box that indicates your preferred method of communication regarding your application.
7. Review the form for accuracy and completeness before signing and dating it.
8. Submit the completed WA DSHS 14-438 form to your local DSHS office.

Who needs WA DSHS 14-438?

1. Individuals applying for assistance from the Washington Department of Social and Health Services (DSHS) may need to fill out WA DSHS 14-438.
2. Families or individuals seeking financial support, food assistance, or other benefits may also require this form.

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What is WA DSHS 14-438?

WA DSHS 14-438 is a form used by the Washington Department of Social and Health Services for reporting various information related to services or assistance provided.

Who is required to file WA DSHS 14-438?

Individuals or organizations that receive services or assistance from the Washington Department of Social and Health Services are required to file WA DSHS 14-438.

How to fill out WA DSHS 14-438?

To fill out WA DSHS 14-438, follow the instructions provided on the form, which typically include entering personal information, service details, and financial information if applicable.

What is the purpose of WA DSHS 14-438?

The purpose of WA DSHS 14-438 is to collect necessary information to assess eligibility for state services and to monitor the provision of those services.

What information must be reported on WA DSHS 14-438?

WA DSHS 14-438 requires reporting of personal identification information, service history, and any relevant financial information necessary for determining eligibility or continued assistance.