Get You Can Start The Process Today By Submitting The Review In-person At A Local - Dshs Wa

This guide will help you navigate the process of filling out the Eligibility Review form for cash, food, and health care assistance. Following these steps ensures your application is completed accurately and submitted appropriately.

Follow the steps to complete the form correctly.

1. Press the ‘Get Form’ button to access the Eligibility Review form and open it for completion.
2. Begin by filling in your personal details in the first section, including your first name, middle initial, and last name. If you have a client identification number, include it in the appropriate field.
3. Provide your address, contact information, and additional phone numbers if applicable. Make sure to fill out the mailing address if it differs from your residence.
4. Indicate the type of assistance you are applying for by checking the relevant boxes, such as cash, food, or health care coverage.
5. For those applying for food assistance, answer the question regarding the number of people in your household for whom you prepare food.
6. Complete the financial sections by providing details such as expected monthly income, available resources in cash and bank accounts, and monthly expenses related to rent or mortgage.
7. If applicable, fill in information about health insurance and other resources you or your household may have.
8. If you have an authorized representative, fill in their details in the designated section. This individual can assist you in communication with DSHS.
9. Make sure to sign and date the form once completed, certifying that the information provided is accurate to the best of your knowledge.
10. Review the entire form for any errors or omissions. Once satisfied, you can save changes, download, print, or share the completed form as needed.

Start completing your application form online today to ensure you receive the assistance you need.