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DSHS Form 12-195 Disqualification Consent Agreement - Washington
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What Is DSHS Form 12-195?
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.
Form Details:
- Released on April 1, 2019;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Cambodian;
- 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 12-195 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
