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.
Q: What is DSHS Form 10-411?
A: DSHS Form 10-411 is a Consumer Response: Do Not Hang up Complaint form used in Washington.
Q: What is the purpose of DSHS Form 10-411?
A: The purpose of DSHS Form 10-411 is to file a complaint regarding a call where the receiver was promptly hung up on without assistance.
Q: Who can use DSHS Form 10-411?
A: Any individual who has experienced a call where they were promptly hung up on without assistance can use DSHS Form 10-411.
Q: Is there a deadline to submit DSHS Form 10-411?
A: There is no specific deadline mentioned for submitting DSHS Form 10-411.
Q: What information is required on DSHS Form 10-411?
A: DSHS Form 10-411 requires basic information such as name, contact details, date and time of the call, and details of the complaint.
Q: What happens after submitting DSHS Form 10-411?
A: After submitting DSHS Form 10-411, the complaint will be reviewed and investigated by the DSHS to determine the appropriate action.
Q: Is there any fee for submitting DSHS Form 10-411?
A: There is no fee mentioned for submitting DSHS Form 10-411.
Q: Can I remain anonymous when submitting DSHS Form 10-411?
A: Yes, you can choose to remain anonymous when submitting DSHS Form 10-411 if you wish to do so.
Form Details:
Download a printable version of DSHS Form 10-411 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.