DSHS Form 17-180 Personal Information Release - Washington

DSHS Form 17-180 Personal Information Release - Washington

What Is DSHS Form 17-180?

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 17-180?A: DSHS Form 17-180 is a document that allows the release of personal information in Washington.

Q: What is the purpose of DSHS Form 17-180?A: The purpose of DSHS Form 17-180 is to authorize the release of personal information held by the Washington State Department of Social and Health Services.

Q: Who can use DSHS Form 17-180?A: Any individual who wants to authorize the release of their personal information held by the Washington State Department of Social and Health Services can use DSHS Form 17-180.

Q: Is there a fee for obtaining DSHS Form 17-180?A: No, there is no fee for obtaining DSHS Form 17-180.

Q: What information is required to complete DSHS Form 17-180?A: To complete DSHS Form 17-180, you will need to provide your personal information such as name, date of birth, and social security number, as well as the specific information you want to be released.

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Form Details:

  • Released on April 1, 2016;
  • 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 17-180 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 17-180 Personal Information Release - Washington

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