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DSHS Form 10-413 Application for Contract for Currently Licensed Boarding Home - Washington
What Is DSHS Form 10-413?
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 10-413?
A: DSHS Form 10-413 is an application for a contract for a currently licensed boarding home in Washington.
Q: Who is the application form for?
A: The application form is for individuals who own or operate a currently licensed boarding home in Washington.
Q: What is the purpose of the application?
A: The purpose of the application is to apply for a contract to provide services to clients eligible for public assistance programs.
Q: What information is required in the application?
A: The application requires information about the licensed boarding home, the owner/operator, and the services provided.
Form Details:
- Released on June 1, 2014;
- 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 10-413 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 10-413 Application for Contract for Currently Licensed Boarding Home - Washington
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