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WA DSHS 10-244 2014-2025 free printable template

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PLAN EFFECTIVE DATE END DATE DEVELOPMENTAL DISABILITIES ADMINISTRATION (DDA) Shared Parenting Plan CHILD / YOUTHS LEGAL NAME ADSA ID NUMBER CHILD / YOUTHS RESIDENCE CITY STATE ZIP CODE Name Telephone
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How to fill out WA DSHS 10-244

01
Obtain a copy of the WA DSHS 10-244 form from the DSHS website or local office.
02
Fill in the required personal information, including your name, address, and phone number at the top of the form.
03
Provide details about your income sources and amounts in the designated section.
04
List any dependent individuals under your care, providing their names and relationships.
05
Complete the expenses section by detailing your monthly expenses, such as rent, utilities, and childcare.
06
Review the form for accuracy and completeness before signing.
07
Submit the completed form to your local DSHS office, either by mail or in person.

Who needs WA DSHS 10-244?

01
Individuals applying for financial assistance or benefits from the Washington Department of Social and Health Services (DSHS) such as food assistance, medical benefits, or cash assistance.
02
Anyone who needs to report changes in income or household composition to DSHS.
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WA DSHS 10-244 is a form used by the Washington Department of Social and Health Services to collect specific information related to various social services.
Individuals or organizations involved in certain social service programs in Washington State may be required to file WA DSHS 10-244.
To fill out WA DSHS 10-244, follow the instructions provided on the form, ensuring all required fields are completed accurately with the necessary information.
The purpose of WA DSHS 10-244 is to gather essential data for the management and implementation of social services in Washington State.
The information that must be reported on WA DSHS 10-244 typically includes personal details of the applicant, income information, and specifics related to the services being applied for.
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