DSHS Form 05-256 Notice of Action Exception to Rule for Afh Daily Rates - Washington (Cambodian)

DSHS Form 05-256 Notice of Action Exception to Rule for Afh Daily Rates - Washington (Cambodian)

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

FAQ

Q: What is Form 05-256?A: Form 05-256 is the Notice of Action Exception to Rule for Adult Family Home (AFH) Daily Rates in Washington.

Q: What is an Adult Family Home (AFH)?A: An Adult Family Home (AFH) is a residential home that provides care and support to elderly or disabled individuals.

Q: What is the purpose of Form 05-256?A: The purpose of Form 05-256 is to notify individuals of any exceptions to the rules regarding AFH daily rates in Washington.

Q: Who needs to fill out Form 05-256?A: AFH providers or individuals who are applying for or currently receiving services from an AFH need to fill out Form 05-256.

Q: What does an exception to the rule for AFH daily rates mean?A: An exception to the rule for AFH daily rates means that there will be a deviation from the standard daily rate for care and support provided by an AFH.

Q: Are there any specific requirements for filling out Form 05-256?A: Yes, there are specific requirements for filling out Form 05-256. These requirements are outlined in the form itself and may vary depending on the individual's circumstances.

Q: Can I appeal a decision made regarding an exception to AFH daily rates?A: Yes, individuals have the right to appeal a decision made regarding an exception to AFH daily rates. The appeals process is outlined by the DSHS and can be initiated by following the appropriate procedures.

Q: Is the information provided on Form 05-256 confidential?A: Yes, the information provided on Form 05-256 is confidential and subject to privacy laws and regulations.

ADVERTISEMENT

Form Details:

  • Released on June 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 05-256 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 05-256 Notice of Action Exception to Rule for Afh Daily Rates - Washington (Cambodian)

4.3 of 5 (57 votes)
  • DSHS Form 05-256 Notice of Action Exception to Rule for Afh Daily Rates - Washington (Cambodian)

    1

  • DSHS Form 05-256 Notice of Action Exception to Rule for Afh Daily Rates - Washington (Cambodian), Page 2

    2

  • DSHS Form 05-256 Notice of Action Exception to Rule for Afh Daily Rates - Washington (Cambodian), Page 1
  • DSHS Form 05-256 Notice of Action Exception to Rule for Afh Daily Rates - Washington (Cambodian), Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents