LOCAL OFFICE TELEPHONE NUMBER CASE NUMBER DATE STATEMENT OF COLLATERAL INFORMATION SECTION 1 RE: The Department of Social and Health Services is in the process of determining the above named persons.
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How to fill out the STATEMENT OF COLLATERAL INFORMATION - Dshs Wa online
The STATEMENT OF COLLATERAL INFORMATION - Dshs Wa is an essential form for individuals involved with the Department of Social and Health Services. This guide provides clear and concise steps to help users effectively complete the form online.
Follow the steps to successfully fill out the form.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
- Indicate the local office telephone number, your case number, and the date at the top of the form. Ensure all entries are accurate to avoid processing delays.
- In SECTION 1, write the name of the person whose eligibility is being determined. This ensures the form is associated with the correct individual.
- In SECTION 2, authorize a specific person or agency to provide information related to the eligibility process. Clearly state their relationship to you, such as ‘physician,’ ‘neighbor,’ or ‘relative.’
- Sign and date the form in the designated area within SECTION 2 to provide your consent.
- In SECTION 3, the person providing information must ensure they only share details they know to be true. If they do not have certain information, they should write 'UNKNOWN.'
- The individual providing information must also sign, date, and provide their address and phone number. If additional space is needed, they may attach extra pages.
- After filling out the form, review all entries for accuracy and completeness, then choose to save changes, download, print, or share the completed form according to your needs.
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Get answers to your most pressing questions about US Legal Forms API.
How do I get welfare 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 is the best time to call DSHS?
Our highest call volume times are between the hours of 11 a.m. and 3 p.m., Mondays and on the first and last three work days of the month. If you call during these times, you may experience delays in speaking with an agent.
How do I submit documents to DSHS?
Applications may be submitted by using one of these methods: • Visiting Washington Connection at WashingtonConnection.org. Calling the Customer Service Contact Center at 877-501-2233. Visiting your local Community Service Office. Mailing DSHS Community Services Division, P.O. Box 11699, Tacoma, WA 98411-6699.
What is the phone number for DSHS Washington Human Resources?
Or call the DSHS recruitment number at (360) 725-5810.
What is the phone number for Washington DSHS Renton?
The following services can be completed in the office or online or by phone at 877-501-2233: Apply for benefits or submit documents.
How do I contact DSHS in Washington state?
Client Resources - Assistance & Contact Information 1-877-734-6277. TTY: 1-833-866-5595. Email: apscentralintake@dshs.wa.gov. Make a report online. Get more information on adult abuse and neglect. If the person is in immediate danger, call 911.
What is the WA state DSHS phone interview number?
Please call us at 1-877-501-2233 for an interview or to see if your local office is open for in-person interviews. You may also visit https://.dshs.wa.gov/ and follow the link “Find a local service office” for updates on in-person services.
Who do I call to get food stamps in Washington state?
How to Apply For Basic Food Benefits: You can apply for Basic Food Assistance online, by phone at 877-501-2233 or at your local Community Services Office.
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