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DSHS Form 17-260 Companion Home Gift Card or Pre-paid Credit Card Ledger - Washington
What Is DSHS Form 17-260?
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 17-260?A: DSHS Form 17-260 is a form used in Washington to document gift cards or pre-paid credit cards given to companion home providers.
Q: What is a companion home provider?A: A companion home provider is someone who provides care and support to individuals with developmental disabilities or mental health conditions in their own home as part of a licensed program.
Q: Why would someone receive a gift card or pre-paid credit card as a companion home provider?A: Gift cards or pre-paid credit cards may be given to companion home providers as a thank-you or as a form of compensation for their services.
Q: What is the purpose of the ledger?A: The ledger is used to track and document the use of gift cards or pre-paid credit cards provided to companion home providers.
Q: Do companion home providers need to submit this form to DSHS?A: Yes, companion home providers are required to submit the completed ledger to the Washington State Department of Social and Health Services (DSHS).
Form Details:
- Released on December 1, 2018;
- 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;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 17-260 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
