DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington

DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington

What Is DSHS Form 16-195?

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 16-195?
A: DSHS Form 16-195 is a form used to provide information about your role as the Identified Necessary Supplemental Accommodation (Nsa) Representative in Washington.

Q: What is the purpose of DSHS Form 16-195?
A: The purpose of DSHS Form 16-195 is to gather information about your responsibilities as the Identified Necessary Supplemental Accommodation (Nsa) Representative.

Q: Who needs to fill out DSHS Form 16-195?
A: The Identified Necessary Supplemental Accommodation (Nsa) Representative is required to fill out DSHS Form 16-195.

Q: What information is required on DSHS Form 16-195?
A: DSHS Form 16-195 requires information about your name, address, contact information, and your responsibilities as the Identified Necessary Supplemental Accommodation (Nsa) Representative.

ADVERTISEMENT

Form Details:

  • Released on September 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 Cambodian;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 16-195 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 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington

4.4 of 5 (83 votes)
  • DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington

    1

  • DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington, Page 2

    2

  • DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington, Page 3

    3

  • DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington, Page 1
  • DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington, Page 2
  • DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington, Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents