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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 11-166 Exhibit K
for the current year.
DSHS Form 11-166 Exhibit K Contractor Employee(S) to Provide IL Services and Service(S) Approved - Washington
What Is DSHS Form 11-166 Exhibit K?
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 11-166 Exhibit K?A: DSHS Form 11-166 Exhibit K is a document used in Washington.
Q: What is the purpose of DSHS Form 11-166 Exhibit K?A: The purpose of DSHS Form 11-166 Exhibit K is to list contractor employees who provide Independent Living (IL) services and approved services.
Q: Who uses DSHS Form 11-166 Exhibit K?A: DSHS Form 11-166 Exhibit K is used by contractors in Washington.
Q: What information does DSHS Form 11-166 Exhibit K include?A: DSHS Form 11-166 Exhibit K includes the names of contractor employees, the services they provide, and whether those services are approved.
Q: Is DSHS Form 11-166 Exhibit K specific to Washington only?A: Yes, DSHS Form 11-166 Exhibit K is specific to Washington as it is used by the Washington Department of Social and Health Services (DSHS).
Form Details:
- Released on March 1, 2022;
- 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 11-166 Exhibit K by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
