

Request Forms
Thank you for your inquiry about our service as Representative Payee.
Our guidelines are simple:
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We expect a referral from an agency or family member who can help establish a budget.
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The client must not have a history of violence.
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The client must agree to a budget.
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Our interaction with a payee client will be by mail or telephone.
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We will pay bills directly to vendors/providers, with personal funds sent directly to the client.
To apply for Representative Payee services, please download, print, and sign the following forms:
Please include any information that you feel would be helpful and return the signed pages to: Northwest Washington Payee Services - P.O. Box 4202 - Nooksack, WA 98276 Phone (360) 988-4517 * Fax (360) 353-4304