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.
Q: What is DSHS Form 15-435?
A: DSHS Form 15-435 is a documentation form used to verify eligibility for the Developmental Disabilities Administration (DDA) in Washington.
Q: What is the purpose of DSHS Form 15-435?
A: The purpose of DSHS Form 15-435 is to gather relevant information and documentation to determine if an individual is eligible for services and support from the DDA.
Q: Who needs to fill out DSHS Form 15-435?
A: The form needs to be filled out by individuals or their legal representatives who are seeking eligibility for DDA services in Washington.
Q: What information is required on DSHS Form 15-435?
A: The form requires personal information about the individual, medical history, functional limitations, and documentation from qualified professionals like doctors, therapists, or psychologists.
Q: Is there a deadline for submitting DSHS Form 15-435?
A: There is no specific deadline mentioned for submitting the form, but it is recommended to submit it as soon as possible to initiate the eligibility determination process.
Form Details:
Download a printable version of DSHS Form 15-435 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.