DSHS Form 16-205 Personal Emergency Plan Information - Washington

DSHS Form 16-205 Personal Emergency Plan Information - Washington

What Is DSHS Form 16-205?

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 16-205?
A: DSHS Form 16-205 is a Personal Emergency Plan Information form.

Q: What is the purpose of DSHS Form 16-205?
A: The purpose of DSHS Form 16-205 is to gather information about an individual's personal emergency plan.

Q: Who needs to fill out DSHS Form 16-205?
A: Anyone who receives services from the Washington State Department of Social and Health Services (DSHS) may need to fill out this form.

Q: Is DSHS Form 16-205 mandatory?
A: Completing DSHS Form 16-205 is not mandatory, but it is recommended for individuals receiving services from DSHS.

Q: What information is required on DSHS Form 16-205?
A: DSHS Form 16-205 asks for information about a person's emergency contacts, medical conditions, medications, and other relevant information.

Q: How often should DSHS Form 16-205 be updated?
A: It is recommended to update DSHS Form 16-205 whenever there are changes to your personal emergency plan or contact information.

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

Download a printable version of DSHS Form 16-205 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 16-205 Personal Emergency Plan Information - Washington

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