PDF
Word
DSHS Form 11-084 Contracted Employee(S) to Provide IL Services and Service(S) Approved - Washington
What Is DSHS Form 11-084?
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 11-084?
A: DSHS Form 11-084 is a form used by the Washington Department of Social and Health Services (DSHS) for contracted employees to provide Independent Living (IL) services and approved services.
Q: Who uses DSHS Form 11-084?
A: Contracted employees of the Washington DSHS use Form 11-084.
Q: What is the purpose of DSHS Form 11-084?
A: The purpose of DSHS Form 11-084 is to document contracted employees providing IL services and approved services.
Q: What are IL services?
A: IL services refer to Independent Living services that assist individuals with disabilities to live independently in their communities.
Q: What are approved services?
A: Approved services are services that have been authorized by the Washington DSHS for delivery to eligible individuals.
Q: Do I need to fill out DSHS Form 11-084 if I am a contracted employee?
A: Yes, if you are a contracted employee providing IL services and approved services, you need to fill out DSHS Form 11-084.
Form Details:
- Released on July 1, 2015;
- 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 11-084 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
