12640
This type of document is used for repaying the state of Washington for medical and long-term services and supports received.
This form is used for requesting consultation for undertakings subject to Section 106 of the National Historic Preservation Act and 36 CFR 800 in the state of Washington.
This Form is used for collecting adoption data in Washington state.
This form is used for returning equipment in the state of Washington.
This form is used for enrolling in a radio frequency (RF) program in Washington state.
This form is used for reporting outside employment or volunteer activity in the state of Washington.
This form is used for requesting privacy posts related to Bona Fide Occupational Qualifications in Washington.
This form is used for authorizing the release of medical information in the state of Washington. It allows individuals to provide consent for their medical records to be shared with designated recipients.
This form is used for requesting accommodation in the state of Washington.
This form is used for creating an electronic monitoring schedule in the state of Washington.
This document is an Electronic Monitoring Agreement specific to the state of Washington. It is used for establishing the terms and conditions of electronic monitoring for individuals who are subject to supervision or parole.
This form is used for releasing confidential information from the Substance Abuse Recovery Unit Compound in Washington. It is available in both English and Spanish.
This form is used for the Substance Abuse Recovery Unit compound in Washington to release confidential information.
This Form is used for tracking and screening the health and education of children in Washington state.
This Form is used for authorizing the Community First Choice Personal Care Services (CCSP) program in Washington State.
This form is used for providing informed consent for ICAP (Integrated Community Assessment and Planning) services in Washington state.
This Form is used for requesting an extension of limitations for certain legal actions in the state of Washington. It serves as a checklist to ensure all required information and documentation are included in the request.
This Form is used for acknowledging the responsibilities of being an employer for individual providers in Washington.
This Form is used for appointment letters regarding the Division of Child Support (DCS) Good Cause Determination in Washington. It provides information and instructions for resolving child support issues.
This document is for notifying individuals in Washington about their responsibility for a certain matter.
This document provides information about your rights as a resident of Washington State. It is used to inform you about the rights and protections available to you under state law.
This form is used for an incapacity review for medical care services in the state of Washington. It helps determine if an individual is eligible for medical care services due to incapacitation.
This form is used for documenting substance use disorder requirements for individuals receiving assistance through the Abd/Pwa program in Washington. It is important for individuals to complete this form accurately to ensure they meet the necessary requirements for continued assistance.