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Get WA DSHS 14-467 2014

Rovide proof of all changes; and  Sign and return this review form. For Basic Food:  You do not need to answer questions 3, 4, 5 or 11.  If you receive Basic Food only, you’re not required to provide proof of income for this review. However, you can provide proof of a decrease in income for a possible increase in benefits.  Sign and return this review form. 1. Name, Current Address, and Contact Information FIRST NAME LAST NAME CLIENT IDENTIFICATION (ID) NUMBER STREET ADDRESS W.

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