DSHS Form 12-209 Client Fraud Report - Washington

DSHS Form 12-209 Client Fraud Report - Washington

What Is DSHS Form 12-209?

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 12-209?A: DSHS Form 12-209 is a Client Fraud Report.

Q: What is the purpose of DSHS Form 12-209?A: The purpose of DSHS Form 12-209 is to report client fraud.

Q: Who needs to fill out DSHS Form 12-209?A: Anyone who suspects client fraud in Washington may fill out DSHS Form 12-209.

Q: How do I fill out DSHS Form 12-209?A: You need to provide information about the suspected fraud, including the client's name, description of the fraud, and any supporting evidence or witnesses.

Q: What should I do after filling out DSHS Form 12-209?A: After completing the form, you should submit it to the appropriate DSHS office or official for further investigation.

Q: Is DSHS Form 12-209 confidential?A: Yes, the information provided on DSHS Form 12-209 is treated as confidential and is subject to privacy laws.

Q: Can I remain anonymous when submitting DSHS Form 12-209?A: Yes, you have the option to remain anonymous when submitting DSHS Form 12-209.

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Form Details:

  • Released on February 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 12-209 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 12-209 Client Fraud Report - Washington

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