Get Wa Dshs 14-467 2024-2026

Completing the WA DSHS 14-467 mid-certification review is an essential step to ensure that you continue receiving your benefits. This guide will provide you with clear and supportive instructions on how to fill out this form online, making the process easier and more efficient.

Follow the steps to complete the mid-certification review form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling out your personal information in section 1. This includes your first name, last name, street address, and contact information. Ensure that your contact details are accurate to facilitate communication.
3. In section 2, indicate whether anyone has moved into or out of your household in the past six months. If yes, provide their relationship to you and additional details about their move.
4. For section 3, only fill it out if applicable. Answer any questions regarding changes in pregnancy for individuals in your household.
5. Skip section 4 if you are receiving Basic Food benefits, as this information is not required.
6. In section 5, provide the necessary details if anyone acquired a vehicle in the last six months. Include the owner's name, vehicle make, model, year, and current value.
7. Section 6 requires information on any new income or income that has stopped. Detail the relevant individual’s name, employer, and dates for the changes in income.
8. For section 7, report if there were any lottery or gambling winnings within the past six months. Include necessary details about the winner and the amount won.
9. Fill out section 8 with information regarding earnings or self-employment income. Provide the person's name, employer details, pay rate, and hours worked.
10. If applicable, address section 9 by providing information on any changes in child support obligations.
11. In section 10, report any changes in income from other sources exceeding $125 per month.
12. For section 11, list monthly and yearly amounts for your rent/mortgage, property taxes, and related expenses.
13. Section 12 requires detailing the utility costs your household pays separately from your rent or mortgage.
14. In section 13, be aware of the penalties for incorrect information. It’s important to provide accurate information to avoid legal consequences.
15. Section 14 offers voter registration services. Indicate if you want to register or update your voter registration.
16. Finally, section 15 requires your signature and date. By providing your signature, you affirm that all information is accurate and complete.

Complete your WA DSHS 14-467 mid-certification review online today to ensure you remain eligible for benefits.