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DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong)
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 11-055?A: DSHS Form 11-055 is the Acknowledgement of My Responsibilities as the Employer of My Individual Providers form.
Q: Who is the document intended for?A: The document is intended for individuals who are employing individual providers in Washington.
Q: What is the purpose of this form?A: The purpose of this form is to acknowledge and understand the responsibilities of being an employer of individual providers.
Q: What language is this form in?A: This form is in the Hmong language.
Form Details:
- Released on May 1, 2017;
- 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;
Download a printable version of DSHS Form 11-055 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 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong)
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