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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 10-665
for the current year.
DSHS Form 10-665 Alternative Living Provider Application - Washington
What Is DSHS Form 10-665?
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 the DSHS Form 10-665?
A: The DSHS Form 10-665 is an application for becoming an Alternative Living Provider in Washington.
Q: Who can use the DSHS Form 10-665?
A: Individuals who want to become Alternative Living Providers in Washington can use this form.
Q: What is an Alternative Living Provider?
A: An Alternative Living Provider is someone who provides housing and support services to individuals with developmental disabilities.
Q: Why do I need to fill out this form?
A: Filling out this form is necessary to apply for a license to become an Alternative Living Provider.
Q: Is there a fee for submitting this form?
A: Yes, there is a fee associated with submitting the DSHS Form 10-665. The fee amount may vary, so you should check the current fee schedule.
Q: How long does it take to process the application?
A: The processing time for the DSHS Form 10-665 can vary, but it typically takes several weeks to complete the review and approval process.
Q: What qualifications do I need to be an Alternative Living Provider?
A: To be an Alternative Living Provider, you must meet certain qualifications, including background checks, completing training, and having a suitable living environment.
Q: What support do Alternative Living Providers provide?
A: Alternative Living Providers provide housing, personal care, and support services to individuals with developmental disabilities, helping them with daily living tasks and promoting independence.
Q: Can I be an Alternative Living Provider if I have a criminal record?
A: Having a criminal record does not automatically disqualify you, but it will be considered during the application process. Some offenses may prevent you from becoming an Alternative Living Provider.
Form Details:
- Released on March 1, 2021;
- 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 10-665 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 10-665 Alternative Living Provider Application - Washington
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