PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-605
for the current year.
DSHS Form 10-605 Icf / Iid Information Changes (Residential Care Services) - Washington
What Is DSHS Form 10-605?
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 10-605?A: DSHS Form 10-605 is a form used for reporting information changes in residential care services.
Q: What does ICF/IID stand for?A: ICF/IID stands for Intermediate Care Facility for Individuals with Intellectual Disabilities.
Q: Who uses DSHS Form 10-605?A: Residential care services providers in Washington use DSHS Form 10-605.
Q: What kind of information changes does the form cover?A: The form covers changes in the individual's name, address, phone number, insurance information, medical diagnosis, and support needs.
Q: Is DSHS Form 10-605 mandatory?A: Yes, DSHS Form 10-605 is mandatory for residential care services providers in Washington.
Q: When should I submit DSHS Form 10-605?A: You should submit DSHS Form 10-605 within 10 days of any information changes.
Q: Are there any fees associated with submitting DSHS Form 10-605?A: No, there are no fees associated with submitting DSHS Form 10-605.
Form Details:
- Released on February 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;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 10-605 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
