DSHS Form 09-004C Voluntary Placement Agreement for Child or Youth With Developmental Disabilities - Washington

DSHS Form 09-004C Voluntary Placement Agreement for Child or Youth With Developmental Disabilities - Washington

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What Is DSHS Form 09-004C?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DSHS Form 09-004C by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

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