Get Wa Dshs 14-467 2016

The WA DSHS 14-467 form is essential for individuals seeking to maintain their benefits. This guide provides clear, step-by-step instructions to assist users in effectively completing this form online, ensuring a seamless process.

Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to access the WA DSHS 14-467 and launch it in your editor.
2. Begin by filling in your name, current address, and contact information. Include your first name, last name, client identification number, and both your physical and mailing addresses.
3. Address any people moving in or out of your home. Indicate whether anyone has moved in or out, provide their name, relationship to you, and the relevant dates.
4. Complete the pregnancy section if applicable. Answer whether anyone in your household experienced a change in pregnancy in the past six months and provide the expected due date.
5. For the cash resources section, report any cash resources possessed by anyone in your household. Provide details for checking, savings, stocks, and bonds.
6. In the vehicles section, indicate if anyone acquired a vehicle recently. Supply details about the vehicle, such as owner, make, model, year, and current value.
7. Discuss any new income or income that has ended in the past six months. Include the person's name, employer, and specify whether the income has started or stopped, along with the respective dates.
8. For earnings or self-employment income, provide the name of the person with income, the employer, pay rate, employer's contact information, and the frequency of payments.
9. Complete the child support section if there have been changes to an existing order. Provide the name of the person obligated to pay and the amount of support paid each month.
10. Document income from other sources, listing the source, the person receiving it, and how much they receive weekly or monthly.
11. Provide information about your monthly rent or mortgage costs and any associated taxes or mandatory fees, including amounts covered by others.
12. List the utility costs that your household pays, marking which utilities are applicable and confirming if you received LIHEAA payments in the past year.
13. Finally, review the form for accuracy and completeness. Then, sign and date the form affirming the truthfulness of the provided information.
14. Once you have filled out all necessary sections, save your changes, and download, print, or share the completed form as needed.

Begin filling out your WA DSHS 14-467 online today to ensure you continue receiving your benefits.