Dshs 04 416 Form PDF Details

If you are a recipient of public assistance through the Washington State Department of Social and Health Services, then you may be required to submit the Dshs 04 416 form. This form is used to document your income and assets, and it is important that you complete it fully and accurately. In this blog post, we will provide an overview of the Dshs 04 416 form, including what information is required and how to submit it. We also offer tips on completing the form correctly so that there is no delay in receiving your benefits. Thank you for reading!

QuestionAnswer
Form NameDshs 04 416 Form
Form Length11 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 45 sec
Other namestarget dbhr assestment foms, forms for assessment admission set up target dbhr, dbhr target assessment, dbhr target assessment admission setup

Form Preview Example