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Authorized representative form

Dshs 14 532 2025

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The document outlines the process for designating an Authorized Representative to act on behalf of a client when applying for or receiving benefits from the Department of Social and Health Services (DSHS) or Health Care Authority (HCA). It includes sections for client and representative information, program selection, duration of representation, correspondence preferences, and client authorization. The document emphasizes that having an authorized representative is optional and does not affect benefit eligibility.

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2014	4.6 Satisfied (43 Votes)

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

Can government agencies check your bank account?

Without your consent, a Federal agency that wants to see your financial records may do so ordinarily only by means of a lawful subpoena, summons, formal written request,or search warrant for that purpose.

What is an authorized representative for the Washington Connection?

An authorized representative (AREP) is an adult non-household member who is aware of the household circumstances and can act on behalf of a client. Authorized representatives can receive copies of letters, eligibility reviews, benefits or any combination of these.

What is an authorized representative?

Services are available at your local Community Services Office and by phone through the Customer Service Contact Center at 877-501-2233: TTY/TDD users dial 1-800-833-6384 for Washington Relay Service. Complete interviews for cash or food (application/eligibility review/mid-certification review).

Can the food stamp office see your bank account?

When applying for food stamps, you will be required to submit proof of your monthly income and liquid assets, but the agency you apply through will not look directly into your bank accounts to verify.

Can DSHS check your bank account?

ing to the California Department of Social Services, if you dont have pay stubs or an income statement from your employment, the caseworker at the food stamp office may use the bank records to prove your income.

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