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 Korean. 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 the voluntary placement of a child or youth with developmental disabilities in Washington.
Q: What does this form entail?
A: This form outlines the terms and conditions of the voluntary placement, including the rights and responsibilities of the parties involved.
Q: Is this form available in Korean?
A: Yes, this form is available in Korean.
Q: What is the purpose of the Voluntary Placement Agreement?
A: The purpose of this agreement is to ensure the appropriate care and services for a child or youth with developmental disabilities.
Q: Are there any eligibility requirements for voluntary placement?
A: Yes, the child or youth must meet certain eligibility criteria for voluntary placement, which are outlined in the agreement.
Q: What happens after the agreement is signed?
A: After the agreement is signed, the child or youth will be placed in an appropriate facility or program that can provide the necessary care and services.
Q: Are there any costs associated with voluntary placement?
A: There may be costs associated with voluntary placement, including fees for the care and services provided. These costs will be discussed and agreed upon in the agreement.
Q: What if I have more questions or need assistance with this form?
A: If you have more questions or need assistance with this form, you can contact your local DSHS office for guidance and support.
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.