PDF
Word
DSHS Form 06-177 Residential Training Roster / Reimbursement - Washington
What Is DSHS Form 06-177?
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 06-177?
A: DSHS Form 06-177 is the Residential Training Roster/Reimbursement form used in Washington.
Q: What is the purpose of DSHS Form 06-177?
A: The purpose of DSHS Form 06-177 is to document and request reimbursement for residential training services in Washington.
Q: Who uses DSHS Form 06-177?
A: DSHS Form 06-177 is used by providers and agencies that offer residential training services in Washington.
Q: What information is required on DSHS Form 06-177?
A: DSHS Form 06-177 requires information such as the participant's name, date of birth, training dates, and the provider information.
Q: Is there a deadline for submitting DSHS Form 06-177?
A: Yes, there is a deadline for submitting DSHS Form 06-177. It should be submitted within 90 days of the training end date.
Form Details:
- Released on November 1, 2017;
- 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 06-177 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 06-177 Residential Training Roster / Reimbursement - Washington
1
2
