DSHS Form 17-041 Request for Dshs Records - Washington

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 17-041 for the current year.

DSHS Form 17-041 Request for Dshs Records - Washington

What Is DSHS Form 17-041?

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 17-041?
A: DSHS Form 17-041 is a request form used to obtain DSHS records in the state of Washington.

Q: How do I request DSHS records using Form 17-041?
A: To request DSHS records, you need to fill out DSHS Form 17-041 and submit it to the appropriate DSHS office.

Q: What information is required on DSHS Form 17-041?
A: DSHS Form 17-041 requires you to provide your personal information, the type of records you are requesting, and the reason for your request.

Q: Is there a fee for requesting DSHS records using Form 17-041?
A: Yes, there may be a fee associated with requesting DSHS records. The fee varies depending on the type and size of the record requested.

Q: How long does it take to process a request for DSHS records?
A: The processing time for DSHS records requests can vary, but it usually takes around 30 days.

Q: Can someone else request DSHS records on my behalf using Form 17-041?
A: Yes, you can authorize someone else to request DSHS records on your behalf by filling out the appropriate section on Form 17-041.

Q: What if I need DSHS records urgently?
A: If you need DSHS records urgently, you can indicate the urgency on Form 17-041 and provide a valid reason for the urgent request.

ADVERTISEMENT

Form Details:

  • Released on February 1, 2016;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Lao;
  • 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 17-041 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 17-041 Request for Dshs Records - Washington

4.4 of 5 (14 votes)
  • DSHS Form 17-041 Request for Dshs Records - Washington, Page 1
ADVERTISEMENT

Related Documents