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DSHS Form 04-442 Nursing Home Credit Balance Report - Washington
What Is DSHS Form 04-442?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
FAQ
Q: What is DSHS Form 04-442?
A: DSHS Form 04-442 is the Nursing Home Credit Balance Report used in Washington.
Q: What is the purpose of DSHS Form 04-442?
A: The purpose of DSHS Form 04-442 is to report credit balances in nursing homes in Washington.
Q: Who is required to file DSHS Form 04-442?
A: Nursing homes in Washington are required to file DSHS Form 04-442.
Q: What information is included in DSHS Form 04-442?
A: DSHS Form 04-442 includes information about credit balances in nursing homes, including resident names and amounts.
Q: Is there a deadline for filing DSHS Form 04-442?
A: Yes, there is a deadline for filing DSHS Form 04-442. Please refer to the instructions provided with the form.
Q: Are there any penalties for not filing DSHS Form 04-442?
A: There may be penalties for not filing DSHS Form 04-442, including fines or other enforcement actions.
Q: Do I need to file DSHS Form 04-442 every year?
A: Yes, nursing homes in Washington are required to file DSHS Form 04-442 annually.
Q: Are there any fees associated with filing DSHS Form 04-442?
A: There are no fees associated with filing DSHS Form 04-442.
Form Details:
- Released on December 1, 2007;
- 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 04-442 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
