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 Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 17-063 Authorization?A: DSHS Form 17-063 Authorization is a document used in Washington state.
Q: Who needs to fill out DSHS Form 17-063 Authorization?A: Individuals in Washington state who need to authorize the disclosure of their personal information.
Q: What is the purpose of DSHS Form 17-063 Authorization?A: The purpose of this form is to give consent for the release of personal information for specific purposes, such as accessing benefits or services.
Q: Is DSHS Form 17-063 Authorization available in Somali language?A: Yes, DSHS Form 17-063 Authorization is available in Somali language.
Q: Do I need to provide any additional documents along with DSHS Form 17-063 Authorization?A: The requirements may vary. It is recommended to consult with DSHS or follow the instructions provided with the form to know if any additional documents are required.
Q: Can I get assistance in filling out DSHS Form 17-063 Authorization?A: Yes, you can seek assistance from DSHS staff or a language interpreter if needed.
Q: Can I modify or cancel my authorization on DSHS Form 17-063?A: Yes, you can modify or cancel your authorization by submitting a new form. It is recommended to contact DSHS directly for further instructions.
Form Details:
Download a printable version of DSHS Form 17-063 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.