18-235.pdf

18_235.pdf
Preview of 18-235
🔗 Source: dshs.wa.gov
📊 Size: 52 KB
👤 Author: brombma
⬇️ Downloads: 51

Summary

By signing this form, the client authorizes the Social Security Administration (SSA) to issue to the State an amount equal to the state public assistance received from retroactive SSI payments if found eligible for SSI. The authorization is an eligibility requirement for state-funded cash assistance and is effective for one calendar year, continuing until the client receives their first SSI payment, fails to file a request for review or appeal, or the State and client agree to terminate it. The client must repay the state public assistance if they receive full retroactive SSI payments, and the authorization serves as a protective filing for SSI benefits if an application is filed within 60 days.

Description

By signing this form, the client authorizes the Social Security Administration (SSA) to issue to the State an amount equal to the state public assistance...

Technical Information

  • File Format: PDF
  • File Size: 52 KB
  • Pages: 1
  • Language: EN
  • Author: brombma
  • Total Downloads: 51
  • Last Updated: 2 weeks ago

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