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DSHS Form 11-070 Attendance Log and Billing Invoice - Washington
What Is DSHS Form 11-070?
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.
FAQ
Q: What is DSHS Form 11-070?A: DSHS Form 11-070 is an Attendance Log and Billing Invoice used in Washington.
Q: What is the purpose of DSHS Form 11-070?A: The purpose of DSHS Form 11-070 is to record attendance and create a billing invoice for services provided.
Q: Who uses DSHS Form 11-070?A: DSHS Form 11-070 is used by providers of services that are funded by the Washington State Department of Social and Health Services (DSHS).
Q: What information is recorded on DSHS Form 11-070?A: DSHS Form 11-070 records information such as the name of the client receiving services, dates and times of service, and the services provided.
Q: How is DSHS Form 11-070 submitted?A: DSHS Form 11-070 can be submitted by mail or electronically through DSHS eXPRS (Electronic Provider Reimbursement System).
Q: Is DSHS Form 11-070 mandatory?A: Yes, providers receiving funding from DSHS are required to submit DSHS Form 11-070 for billing purposes.
Form Details:
- Released on June 1, 2008;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- 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 11-070 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
