DSHS Form 27-168 Authorization of Disclosure - Washington (English / Somali)

DSHS Form 27-168 Authorization of Disclosure - Washington (English / Somali)

What Is DSHS Form 27-168?

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 27-168?A: DSHS Form 27-168 is an Authorization of Disclosure form used in Washington state.

Q: What is the purpose of DSHS Form 27-168?A: The purpose of DSHS Form 27-168 is to authorize the disclosure of personal information in Somali language.

Q: Who needs to complete DSHS Form 27-168?A: Any individual who wants their personal information disclosed in Somali language needs to complete DSHS Form 27-168.

Q: Is DSHS Form 27-168 available in other languages?A: Yes, DSHS Form 27-168 is available in multiple languages depending on the needs of the individual.

Q: Can I submit DSHS Form 27-168 electronically?A: The submission methods for DSHS Form 27-168 may vary. Please refer to the instructions provided with the form.

Q: Is there a fee to submit DSHS Form 27-168?A: There is no fee to submit DSHS Form 27-168.

Q: Can someone else fill out DSHS Form 27-168 on my behalf?A: Yes, someone else can fill out DSHS Form 27-168 on your behalf if you have authorized them to do so.

Q: How long is DSHS Form 27-168 valid for?A: The validity period of DSHS Form 27-168 may vary. Please refer to the instructions provided with the form or contact the Washington State Department of Social and Health Services (DSHS).

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Form Details:

  • Released on June 1, 2018;
  • 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;
  • Fill out the form in our online filing application.

Download a printable version of DSHS Form 27-168 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 27-168 Authorization of Disclosure - Washington (English / Somali)

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  • DSHS Form 27-168 Authorization of Disclosure - Washington (English / Somali), Page 1
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