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This document is for the denial notice in the Washington State Combined Fund Drive (CFD) Charitable Contribution Program. It is written in the Lingala language.
This form is used to schedule appointments for available assistance programs provided by the Washington State Department of Social and Health Services (DSHS).
This form is used in Washington to request enrollment or change from one DDA HCBS waiver to another. It is also available in Somali language.
This document is a denial notice for the Washington State Community First Choice Personal Care (CCSP) program, written in Somali language. It notifies the recipient that their application has been denied for the program.
This document is used for Person Centered Service Planning and Annual Assessment Meeting in Washington State, specifically for the Lao-speaking population.
This form is used for conducting a survey during a person-centered service plan meeting in Washington state. The survey is designed to gather feedback and input from individuals with Lao heritage.
This Form is used for notifying individuals in Washington about an exception to a rule decision made by the Department of Social and Health Services.
This type of document is a notification of the exception decision in Washington, provided by the Department of Social and Health Services (DSHS). It is written in Spanish.
This form is used for notifying individuals in Washington who are affected by an exception to a rule decision made by the Department of Social and Health Services (DSHS). It is available in Somali language.
This Form is used for the DDA Community Protection Program in Washington. It is an agreement which outlines the responsibilities and expectations of a chaperone participating in the program.
This form is used for residents of Washington to notify the Department of Social and Health Services of a change of address.
This form is used for conducting quarterly reviews of community protection treatment in Washington state.
This Form is used for creating a Positive Behavior Support Plan (PBSP) in the state of Washington. It helps to develop strategies for managing and promoting positive behavior in individuals with developmental or behavioral challenges.
This Form is used for conducting a Functional Behavioral Assessment (FA) by the Washington State Department of Health and Human Services.
This form is used for residents of Washington State who wish to refuse certain services provided by the Department of Social and Health Services (DSHS).
This form is used for requesting no services paid group under DSHS in Washington state for Cambodian individuals.
This Form is used for the No Paid Services Group in Washington State for individuals who are Lao-speaking.
This Form is used for requesting no paid services for a Russian-speaking individual within the No Paid Services Group in Washington State.
This form is used for applying for the No Paid Services Group in Washington for Somali speakers. It is used by the Department of Social and Health Services to determine eligibility for certain benefits or services.
This Form is used for applying for the No Paid Services Group in Washington state for Vietnamese speakers.
This form is used for a no paid services group in Washington for Korean-speaking individuals through the Department of Social and Health Services (DSHS).
This document is used for notifying clients about termination of services in the Somali language in the state of Washington.
This Form is used for Ukrainian residents in Washington to apply for DSHS services that do not require payment.
This document is a form used by the Washington Department of Social and Health Services (DSHS) for individuals who do not qualify for paid services. It is available in Arabic language.
This Form is used for receiving a denial notice from the Washington State Department of Social and Health Services (DSHS) in Somali language.
This form is used for incomplete applications in Washington for individuals who speak Samoan.