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.
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 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.
Form Details:
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.