DSHS Form 14-528 Chemical Dependency Noncooperation - Washington

DSHS Form 14-528 Chemical Dependency Noncooperation - Washington

What Is DSHS Form 14-528?

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 the DSHS Form 14-528?A: The DSHS Form 14-528 is a form used for reporting chemical dependency noncooperation in Washington.

Q: What is chemical dependency noncooperation?A: Chemical dependency noncooperation refers to a situation where a person is not complying with the requirements of a chemical dependency treatment program.

Q: Who can use the DSHS Form 14-528?A: The DSHS Form 14-528 is typically used by treatment providers, employment agencies, and other organizations involved in monitoring individuals with chemical dependency issues.

Q: What information is required on the DSHS Form 14-528?A: The form requires information about the individual, their treatment program, and details about the noncooperation incident.

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Form Details:

  • Released on October 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 14-528 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 14-528 Chemical Dependency Noncooperation - Washington

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