This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 09-004C?
A: DSHS Form 09-004C is the Voluntary Placement Agreement for Child or Youth With Developmental Disabilities in Washington.
Q: Who is this form for?
A: This form is for parents or guardians of a child or youth with developmental disabilities in Washington.
Q: What is a Voluntary Placement Agreement?
A: A Voluntary Placement Agreement is a legal document that allows parents or guardians to voluntarily place their child or youth with developmental disabilities in a residential facility or other supervised care setting.
Q: Is this form available in Somali?
A: Yes, this form is available in Somali.
Form Details:
Download a printable version of DSHS Form 09-004C by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.