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DSHS Form 06-175 Individual Provider (Ip) Travel Time Request - Washington
What Is DSHS Form 06-175?
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 06-175?
A: DSHS Form 06-175 is the Individual Provider (Ip) Travel Time Request form used in Washington.
Q: Who can use DSHS Form 06-175?
A: Individual Providers (IPs) can use DSHS Form 06-175.
Q: What is the purpose of DSHS Form 06-175?
A: The purpose of DSHS Form 06-175 is to request travel time compensation for Individual Providers (IPs) in Washington.
Q: How do I fill out DSHS Form 06-175?
A: You need to provide your personal information, travel details, and declaration of travel time on DSHS Form 06-175.
Q: Is there a deadline for submitting DSHS Form 06-175?
A: Yes, there is a deadline for submitting DSHS Form 06-175. Please refer to the instructions on the form for the deadline.
Q: What should I do after filling out DSHS Form 06-175?
A: After filling out DSHS Form 06-175, you should submit it to the appropriate DSHS office or contact the DSHS for further instructions.
Form Details:
- Released on February 1, 2016;
- 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 06-175 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 06-175 Individual Provider (Ip) Travel Time Request - Washington
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