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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 03-133
for the current year.
DSHS Form 03-133 Safety Incident / Close Call Report - Washington
What Is DSHS Form 03-133?
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 03-133?
A: DSHS Form 03-133 is a Safety Incident/Close Call Report used in Washington.
Q: What is the purpose of DSHS Form 03-133?
A: The purpose of DSHS Form 03-133 is to report safety incidents or close calls in Washington.
Q: How can I obtain DSHS Form 03-133?
A: You can obtain DSHS Form 03-133 from the Department of Social and Health Services (DSHS) in Washington.
Q: What should I do if I have a safety incident or close call?
A: If you have a safety incident or close call, you should complete DSHS Form 03-133 and submit it to the appropriate authorities.
Q: Are there any specific instructions for filling out DSHS Form 03-133?
A: Yes, there are specific instructions provided on the form itself to guide you in filling it out correctly.
Form Details:
- Released on April 1, 2019;
- 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 03-133 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 03-133 Safety Incident / Close Call Report - Washington
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