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Kennewick ECEAP fax number

(509) 222-5037

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

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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