DSHS Form 17-295 Residential Quality Assurance Certification Evaluation Checklist for Companion Homes Providers - Washington

DSHS Form 17-295 Residential Quality Assurance Certification Evaluation Checklist for Companion Homes Providers - Washington

What Is DSHS Form 17-295?

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?A: DSHS stands for the Department of Social and Health Services.

Q: What is Form 17-295?A: Form 17-295 is the Residential Quality Assurance Certification Evaluation Checklist for Companion Homes Providers.

Q: What is the purpose of the checklist?A: The checklist is used to evaluate and certify companion homes providers in Washington.

Q: Who needs to fill out this form?A: Companion homes providers in Washington need to fill out this form.

Q: What does the checklist assess?A: The checklist assesses various aspects of the companion home, including safety, documentation, and quality of care.

Q: Is this form specific to Washington state?A: Yes, this form is specific to Washington state.

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Form Details:

  • Released on October 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 17-295 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 17-295 Residential Quality Assurance Certification Evaluation Checklist for Companion Homes Providers - Washington

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