Ign Language, etc.) should contact the responsible Agency or USDA s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint filing cust.html and at any USDA office or write a letter addre.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the WA DSHS 14-001 online

Completing the WA DSHS 14-001 application for cash or food assistance online can seem daunting, but this guide will provide you with clear and straightforward instructions to ensure a smooth process. Whether you're new to digital forms or familiar with them, you will find helpful steps to fill out each section accurately and efficiently.

Follow the steps to complete your application with ease.

  1. Click the 'Get Form' button to obtain the form and open it in the online platform.
  2. Start with the applicant's information. Fill in your first name, middle initial, and last name. If applicable, provide the signature of the applicant or authorized representative, as this is a required field.
  3. Enter your client identification number if you know it. If you don't, you can leave this field blank.
  4. Fill in your street address, city, state, and ZIP code to indicate your primary residence.
  5. Provide your primary phone number. You may specify whether it is a cell or home number and leave a message number if necessary.
  6. If your mailing address is different from your street address, enter it here along with the corresponding city, state, and ZIP code.
  7. Complete the secondary phone number section if you have additional contact numbers.
  8. Choose which type of assistance you are applying for by checking all applicable boxes (cash, food, or childcare).
  9. Indicate any circumstances applicable to your household, such as domestic violence situations or disabilities.
  10. Provide an estimate of your expected household income for the month, along with the amount of cash and bank account resources.
  11. Specify your household's rent or mortgage amount and list the utilities that you pay for.
  12. Indicate whether any member of your household is a seasonal or migrant farm worker.
  13. If applying for food assistance, specify how many people in your household you buy and prepare food for.
  14. If applying for child care, check the activities for which you need care.
  15. List everyone in your household, including their names, relationship to you, and Social Security Numbers if applicable. Attach additional sheets if needed.
  16. Complete all sections up to the declaration and signature part of the form. Ensure all information is accurate.
  17. Lastly, review the form to confirm that all necessary fields are filled out correctly. You can either save changes, download, print, or share the form as needed.

Complete your application for cash or food assistance online today!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Application for Cash or Food Assistance - DSHS

See www.dshs.wa.gov for locations. • Fax your ... DSHS 14-001 (REV. 01/2018) ... Someone...

Learn more
Application for Cash or Food Assistance - Walla...

See www.dshs.wa.gov for locations. • Fax your ... DSHS. CSD-Customer Service Center. PO...

Learn more
Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get WA DSHS 14-001