DSHS Form 14-225 SA Acknowledgement of Services - Washington (Samoan)

DSHS Form 14-225 SA Acknowledgement of Services - Washington (Samoan)

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 Samoan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 14-225 SA?
A: DSHS Form 14-225 SA is the Acknowledgement of Services form in Washington (Samoan).

Q: What is the purpose of DSHS Form 14-225 SA?
A: The purpose of DSHS Form 14-225 SA is to acknowledge the receipt of services provided.

Q: Who uses DSHS Form 14-225 SA?
A: DSHS Form 14-225 SA is used by individuals in Washington (Samoan) who have received services.

Q: Is DSHS Form 14-225 SA specific to the Samoan language?
A: Yes, DSHS Form 14-225 SA is specific to the Samoan language in Washington.

Q: Do I need to fill out DSHS Form 14-225 SA?
A: If you have received services in Washington and are fluent in Samoan, you may need to fill out DSHS Form 14-225 SA.

Q: What information is required in DSHS Form 14-225 SA?
A: DSHS Form 14-225 SA requires information such as the individual's personal details, the services received, and the signature of the individual.

Q: Is DSHS Form 14-225 SA available in other languages?
A: No, DSHS Form 14-225 SA is only available in Samoan for Washington residents.

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Form Details:

  • Released on March 1, 2017;
  • 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;

Download a printable version of DSHS Form 14-225 SA 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 14-225 SA Acknowledgement of Services - Washington (Samoan)

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  • DSHS Form 14-225 SA Acknowledgement of Services - Washington (Samoan), Page 1
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