PDF
Word
DSHS Form 10-504 Limitation Extension Request for Clients Under Age 21 - Washington (Lao)
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 10-504?
A: Form 10-504 is a Limitation Extension Request form for clients under the age of 21 in Washington.
Q: Who is eligible to use Form 10-504?
A: Clients under the age of 21 in Washington can use Form 10-504.
Q: What is the purpose of Form 10-504?
A: The form is used to request an extension on limitations for clients under 21 who are receiving services.
Q: What does the form require?
A: The form requires information about the client, their service needs, and the reason for the extension request.
Q: What should I do with the completed form?
A: Submit the completed form to your local DSHS office or follow the instructions provided on the form.
Form Details:
- Released on July 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;
Download a printable version of DSHS Form 10-504 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 10-504 Limitation Extension Request for Clients Under Age 21 - Washington (Lao)
1
2
3
4
