DSHS Form 10-413 Application for Contract for Currently Licensed Boarding Home - Washington

DSHS Form 10-413 Application for Contract for Currently Licensed Boarding Home - Washington

What Is DSHS Form 10-413?

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 10-413?A: DSHS Form 10-413 is an application for a contract for a currently licensed boarding home in Washington.

Q: Who is the application form for?A: The application form is for individuals who own or operate a currently licensed boarding home in Washington.

Q: What is the purpose of the application?A: The purpose of the application is to apply for a contract to provide services to clients eligible for public assistance programs.

Q: What information is required in the application?A: The application requires information about the licensed boarding home, the owner/operator, and the services provided.

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Form Details:

  • Released on June 1, 2014;
  • 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 10-413 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 10-413 Application for Contract for Currently Licensed Boarding Home - Washington

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