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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 15-435
for the current year.
DSHS Form 15-435 Documentation of Esit Eligibility for Dda - Washington
What Is DSHS Form 15-435?
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 15-435?
A: DSHS Form 15-435 is a document used to document eligibility for Developmental Disabilities Administration (DDA) services in Washington.
Q: What does DDA stand for?
A: DDA stands for Developmental Disabilities Administration.
Q: Who uses DSHS Form 15-435?
A: DSHS Form 15-435 is used by individuals seeking eligibility for DDA services in Washington.
Q: What is the purpose of DSHS Form 15-435?
A: The purpose of DSHS Form 15-435 is to gather documentation and information to determine eligibility for DDA services.
Q: What information is required on DSHS Form 15-435?
A: DSHS Form 15-435 requires information such as personal details, medical history, and assessment of functional abilities.
Q: Who should complete DSHS Form 15-435?
A: The individual seeking eligibility for DDA services, their legal guardian, or an authorized representative should complete DSHS Form 15-435.
Q: Are there any fees associated with submitting DSHS Form 15-435?
A: No, there are no fees associated with submitting DSHS Form 15-435.
Q: How long does it take to process DSHS Form 15-435?
A: The processing time for DSHS Form 15-435 may vary, but typically it takes several weeks to complete the eligibility determination process.
Q: What happens after submitting DSHS Form 15-435?
A: After submitting DSHS Form 15-435, the individual will be contacted by a DDA case manager for further evaluation and to discuss the next steps in the eligibility process.
Form Details:
- Released on July 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 15-435 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
