This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.The document is a supplement to DSHS Form 10-614, Ccrss Certification Evaluation Client Interview. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
Download a printable version of DSHS Form 10-614 Attachment C by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.