№ files_lp_3_process_7_009749
The document is an application form for long-term care benefits under the WA Cares Fund, providing details on eligibility requirements, application steps, and privacy notices.
Year: 2023
Region / City: Washington State
Topic: Long-term care benefits
Document Type: Application form
Organization: WA Cares Fund
Author: Washington State Department of Social and Health Services (DSHS)
Target Audience: Individuals applying for long-term care benefits
Action Period: N/A
Approval Date: N/A
Date of Changes: N/A
Confidentiality: HIPAA restrictions
Contact Information: WA Cares Fund customer service (844-227-3492)
Legal Representative: Yes (if applicable)
Language Assistance: Available
Veteran Status: Yes / No
Tribal Government Employment: Yes / No
Race and Ethnicity: Optional for the applicant
Privacy Policy: Yes
Acknowledgement: Signature required
Witness Signature: If applicable
Next Steps: Contribution Determination from Employment Security Department (ESD)
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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