Get Wa Dshs 14-078 2018

Filling out the WA DSHS 14-078 form online can streamline the process of applying for cash or food assistance. This guide provides you with clear and supportive steps to complete the form, ensuring that you include all necessary information accurately.

Follow the steps to successfully complete the WA DSHS 14-078 form online.

1. Press the ‘Get Form’ button to access the WA DSHS 14-078 online form in your browser.
2. Begin by entering your personal information, including your first name, middle initial, last name, and signature. Ensure that you also indicate whether you are the applicant or an authorized representative.
3. Input your client ID number if it is known. This helps the system locate your existing records, if applicable.
4. Provide your current street address, city, state, and ZIP code. This information is essential for correspondence and verification.
5. Enter your primary phone number, specifying whether it is a cell or home number, along with any message preferences.
6. If your mailing address differs from your street address, please provide the new mailing address details.
7. Fill in your secondary phone number(s) for additional communication options.
8. Indicate all types of assistance you are applying for by checking the appropriate boxes—including cash, food, or healthcare programs.
9. Complete the section regarding any relevant conditions in your household, such as domestic violence situations, disabilities or health issues preventing work, and pregnancy.
10. Answer questions regarding your household's expected income for the month, current resources, and expenses such as rent or utilities.
11. List all household members, including their relationship to you, and indicate if you wish to apply for benefits on their behalf.
12. Verify whether you or anyone in your household has any relevant health insurance, annuities, or other income sources, and provide details.
13. Review the information you entered for accuracy before submitting the form. After completing, you will have the option to save changes, download, print, or share the form.

Complete your WA DSHS 14-078 form online today to ensure you receive the assistance you need.