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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 17-226
for the current year.
DSHS Form 17-226 Aaa Dshs / Hca Systems Access Request - Washington
What Is DSHS Form 17-226?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
FAQ
Q: What is DSHS Form 17-226?A: DSHS Form 17-226 is a form used to request access to DSHS/HCA systems in Washington.
Q: Who can use DSHS Form 17-226?A: Anyone who needs access to DSHS/HCA systems in Washington can use this form.
Q: What is the purpose of DSHS Form 17-226?A: The purpose of this form is to request access to DSHS/HCA systems in Washington for various purposes.
Q: Are there any fees associated with DSHS Form 17-226?A: No, there are no fees associated with this form.
Q: What information is required on DSHS Form 17-226?A: The form requires information such as the requester's name, contact information, and reason for access.
Q: How long does it take to process DSHS Form 17-226?A: The processing time may vary, but it typically takes a few days to process the form.
Q: Who should I contact for assistance with DSHS Form 17-226?A: You can contact the DSHS or HCA offices for assistance with this form.
Form Details:
- Released on April 1, 2020;
- 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 17-226 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 17-226 Aaa Dshs / Hca Systems Access Request - Washington
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