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DSHS Form 05-249 Adult Residential Care Services Notice of a Change - Washington
What Is DSHS Form 05-249?
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 05-249?
A: DSHS Form 05-249 is the Adult Residential Care Services Notice of a Change form used in Washington.
Q: What is Adult Residential Care Services?
A: Adult Residential Care Services refer to services provided to adults in residential care facilities.
Q: What is the purpose of DSHS Form 05-249?
A: The purpose of DSHS Form 05-249 is to notify the Department of Social and Health Services (DSHS) about any changes related to the resident in the adult residential care facility.
Q: Who is required to complete DSHS Form 05-249?
A: The adult residential care facility is required to complete DSHS Form 05-249 whenever there is a change regarding a resident.
Q: What kind of changes should be reported using DSHS Form 05-249?
A: Any changes related to the resident, such as changes in medical condition, medication, personal needs, or contact information, should be reported using DSHS Form 05-249.
Q: Is there a deadline for submitting DSHS Form 05-249?
A: Yes, DSHS Form 05-249 should be submitted to the Department of Social and Health Services (DSHS) within 10 days of the change.
Form Details:
- Released on May 1, 2015;
- 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 05-249 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
