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Get WA DSHS 27-053 2013-2024

Y and to obtain child support for the child named below. Unless you give us a good reason for not completing this form, the Community Services Division may reduce your Temporary Assistance for Needy Families grant by 25 percent. I. Information About the Natural Mother of the Child Listed in Section II FULL NAME (FIRST / MIDDLE / LAST) MAIDEN NAME SOCIAL SECURITY NUMBER DATE OF BIRTH (MONTH/DAY/YEAR) CLIENT ID NUMBER II. Information About the Child FULL NAME (FIRST / MIDDLE / LAST) DATE OF.

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