DSHS Form 15-435 Documentation of Esit Eligibility for Dda - Washington

DSHS Form 15-435 Documentation of Esit Eligibility for Dda - Washington

What Is DSHS Form 15-435?

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 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.

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Form Details:

  • Released on November 1, 2019;
  • 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 15-435 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 15-435 Documentation of Esit Eligibility for Dda - Washington

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  • DSHS Form 15-435 Documentation of Esit Eligibility for Dda - Washington, Page 1
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