Dshs form 2025

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The document provides instructions for individuals applying for cash or food assistance through the Washington Apple Health programs. It outlines the application process, eligibility requirements, and necessary documentation, including immigration status and Social Security numbers. The document emphasizes the importance of timely submission to expedite benefits and details civil rights protections against discrimination. Additionally, it includes information on potential penalties for fraudulent claims and outlines the responsibilities of applicants.

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Click ‘Get Form’ to open the dshs form in the editor.
Begin by entering your first name, middle initial, and last name in the designated fields. Ensure accuracy as this information is crucial for identification.
Provide your client ID number if known, followed by your current street address, city, state, and zip code.
Fill in your primary phone number and email address. If you have a different mailing address, include that as well.
Indicate which assistance programs you are applying for by checking the appropriate boxes under section 8.
Complete questions regarding household income and expenses in sections 10 through 14. Be thorough to ensure accurate processing of your application.
List all household members in section 17, including their relationship to you and any relevant details such as gender and date of birth.
Review all entered information for accuracy before signing at the end of the form. Your signature confirms that all provided information is true.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (81 Votes)
2018	4.4 Satisfied (159 Votes)
2014	4.4 Satisfied (545 Votes)
2011	4.3 Satisfied (46 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who qualifies for low income in Washington?

We try to process your application as quickly as possible. A lot depends on how soon were able to get the information we need to determine if youre eligible. Generally, most food stamp and TANF cash benefits are processed within 30 days.

How do I apply for DSHS in Washington state?

You may complete an online application by using the WashingtonConnection.org website, applying by phone at 877-501-2233 or going to your local Community Services Office. On WashingtonConnection.org you can: Start a new application. Report a change, such as address, income or family situation.

What does DSHS stand for in WA?

Washington State Department of Social and Health Services.

Is DSHS state or federal?

DSHS contracts with local government, private, and nonprofit contractors to deliver these services, and operates over 140 field offices and 12 state-run facilities throughout Washington.

What is the income limit for DSHS in Washington state?

Basic Food Eligibility and Benefits Household SizeMonthly Gross Income 3 $4,442 4 $5,358 5 $6,275 6 $7,1927 more rows

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What is the DSHS stop work form for Washington state?

Stop Work Questionnaire (form 14-438) This form is used when you stop work or self employment. The form should be signed by you but must be completed by your employer. Your employer can also complete this form On-Line.