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DSHS Form 17-211 Authorization for Ssi Facilitation Records - Washington
What Is DSHS Form 17-211?
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 17-211?
A: DSHS Form 17-211 is the Authorization for SSI Facilitation Records in Washington.
Q: What is the purpose of DSHS Form 17-211?
A: The purpose of DSHS Form 17-211 is to give authorization for the release of SSI facilitation records in Washington.
Q: Who needs to fill out DSHS Form 17-211?
A: Individuals who are seeking SSI benefits in Washington and need their facilitation records released must fill out DSHS Form 17-211.
Q: Is DSHS Form 17-211 mandatory?
A: Yes, if you want your SSI facilitation records to be released, filling out DSHS Form 17-211 is mandatory in Washington.
Form Details:
- Released on June 1, 2012;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Spanish;
- 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 17-211 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
