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Kennewick ECEAP fax number
(509) 222-5037
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Kennewick ECEAP Office
Used for: Enrollment: submission of the ECEAP Prescreen & Application (DCYF 05-006). Also used for Information Release/Confidential Health Information releases related to enrolled children.
Fax destination details
- Department
- Kennewick ECEAP Office
- Purpose
- Enrollment: submission of the ECEAP Prescreen & Application (DCYF 05-006). Also used for Information Release/Confidential Health Information releases related to enrolled children.
- Form
- DCYF 05-006 — ECEAP Prescreen & Application
- Address
- Kennewick ECEAP Office, 123 S Kent St, Portable 4, Kennewick, WA 99336, United States
- Voice phone
- 509-222-5027
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Please use a pen to fill out the ECEAP Prescreen & Application. Include income verification (e.g., IRS 1040 or transcripts, W-2s, pay stubs), immunizations, child’s birth certificate, proof of guardianship, address verification, Provider One/insurance card, and any applicable Foster Care or IEP information.
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