Get A19-1a Dcs Paternity.doc. Transaction Request Form (ca504) - Dshs Wa
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How to use or fill out the A19-1A DCS Paternity.doc. Transaction Request Form (CA504) - Dshs Wa online
Filling out the A19-1A DCS Paternity.doc. Transaction Request Form (CA504) - Dshs Wa can seem complicated, but this step-by-step guide will help simplify the process. By following these instructions, users can ensure that they fill out the form correctly and efficiently for processing.
Follow the steps to complete and submit the form successfully.
- To begin, click the ‘Get Form’ button to access the A19-1A DCS Paternity.doc. This will allow you to open the form in an editable format.
- Fill in the 'Agency Use Only' section at the top of the form with the applicable agency number and location code as provided by the relevant department.
- In the 'Agency Name' area, enter 'DSHS/ESA/OS Fiscal Division of Child Support Fiscal Unit', followed by the mailing address shown on the form.
- Input the 'Invoice Number' and the 'Date' in the appropriate fields to establish the context for your submission.
- In the 'Instructions to Vendor or Claimant' section, review and ensure that you understand the requirements for submitting this form for payment.
- Complete the 'Vendor's Certificate' by certifying the accuracy of the charges and details listed. This includes your signature in ink.
- For the 'Hospital/Business' section, enter the name of the hospital or business that is to receive the payment.
- Provide a current phone number, so you can be reached if there are questions regarding your submission.
- Fill in the 'Child's Full Name' and 'Date of Birth' for any children related to the services being invoiced.
- In the payment amount section, enter the total quantity for payment and calculate the total due based on the price per unit.
- Finalize the form by adding any necessary agency approval signatures and dates in the appropriate sections.
- Once all fields are completed, save your changes, and you may choose to download, print, or share the filled-out form as needed.
Complete your A19-1A DCS Paternity.doc form online for efficient processing today.
A paternity action in Washington State is a legal procedure to establish the biological relationship between a father and child. This action can be initiated by either parent or a third party, such as the state, to secure parental rights and responsibilities. Utilizing the A19-1A DCS Paternity.doc. Transaction Request Form (CA504) - Dshs Wa. is a practical way to begin this process, ensuring all necessary legal documentation is addressed.
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