Get Wa Dshs 14-438 2015-2026

Filling out the WA DSHS 14-438 form is an important process for ensuring that employment and pay information is accurately reported to the Department of Social and Health Services. This guide provides clear, step-by-step instructions for completing the form online to make the process as straightforward as possible.

Follow the steps to complete the WA DSHS 14-438 online

1. Click the ‘Get Form’ button to access the WA DSHS 14-438 form and open it in your editor.
2. In Section 1, the client must fill out their personal information before taking the form to the employer. This includes signing the form to authorize the employer to provide the necessary employment details.
3. Complete the client’s name, company name, company address, and any other required information as indicated.
4. In Section 2, the employer or designated representative should fill out the employment and pay details. Begin with the last date the employee worked and document the amount of the final paycheck and the dates it was received.
5. Provide additional paycheck information for any other paychecks received within the same month as the final paycheck, including amounts and dates.
6. Indicate the reason for the job ending, selecting appropriate options such as lack of work, temporary job, laid off, or leave. If on leave, specify if it was paid or unpaid.
7. If applicable, indicate whether the employee will receive severance pay and provide details on when it will be received.
8. Confirm whether the employee can cash out vacation or sick pay, providing the expected amounts and dates for receipt.
9. Include information regarding the employee's retirement or pension fund and detail the amounts and expected availability.
10. Finally, the designated person in the company should sign and date the form, providing their name and position title, along with a contact telephone number.

Complete your WA DSHS 14-438 form online today to ensure your information is processed efficiently.