DSHS Form 09-995 Companion Home Evaluation and Review - Washington

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DSHS Form 09-995 Companion Home Evaluation and Review - Washington

What Is DSHS Form 09-995?

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 09-995?
A: DSHS Form 09-995 is a Companion Home Evaluation and Review form in Washington.

Q: What is the purpose of the DSHS Form 09-995?
A: The purpose of DSHS Form 09-995 is to evaluate and review companion homes in Washington.

Q: Who uses DSHS Form 09-995?
A: The form is used by the Washington State Department of Social and Health Services (DSHS) for evaluating companion homes.

Q: What is a companion home?
A: A companion home is a certified family home where individuals with developmental disabilities can live.

Q: What does the evaluation and review process involve?
A: The evaluation and review process involves assessing various aspects of the companion home, including safety, cleanliness, caregiver qualifications, and compliance with regulations.

Q: What happens after the evaluation and review?
A: After the evaluation and review, DSHS determines whether the companion home meets the required standards and may issue a certificate if approved.

Q: Is DSHS Form 09-995 mandatory?
A: Yes, companion home providers in Washington are required to complete and submit DSHS Form 09-995 for evaluation and review.

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Form Details:

  • Released on May 1, 2019;
  • 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;

Download a printable version of DSHS Form 09-995 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 09-995 Companion Home Evaluation and Review - Washington

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