PDF
Word
DSHS Form 01-110C Protective Payee Report Continuation - Washington
What Is DSHS Form 01-110C?
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 01-110C?
A: DSHS Form 01-110C is the Protective Payee Report Continuation form for Washington state.
Q: What is the purpose of DSHS Form 01-110C?
A: The purpose of DSHS Form 01-110C is to provide additional information in continuation of the Protective Payee Report.
Q: Who uses DSHS Form 01-110C?
A: DSHS Form 01-110C is used by individuals or organizations serving as protective payees for DSHS clients.
Q: What information is required on DSHS Form 01-110C?
A: DSHS Form 01-110C requires information about the protected person, the payee, and details about the payee's financial management.
Form Details:
- Released on February 1, 1999;
- 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 01-110C 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 01-110C Protective Payee Report Continuation - Washington
1
2
