This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 11-119 for the current year.
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 11-119?
A: DSHS Form 11-119 is an Informational Interview Worksheet used by the Division of Vocational Rehabilitation in Washington.
Q: What is the purpose of DSHS Form 11-119?
A: The purpose of DSHS Form 11-119 is to gather information during an informational interview with a client who is seeking vocational rehabilitation services.
Q: Who uses DSHS Form 11-119?
A: DSHS Form 11-119 is used by the Division of Vocational Rehabilitation in Washington.
Q: What information is gathered on DSHS Form 11-119?
A: DSHS Form 11-119 gathers information about the client's education, work history, disabilities, and vocational goals.
Q: How is DSHS Form 11-119 used?
A: DSHS Form 11-119 is used to assess the client's needs, strengths, and barriers to employment, and to develop a plan for vocational rehabilitation services.
Form Details:
Download a printable version of DSHS Form 11-119 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.