DSHS Form 09-539A Indian Heritage Questionnaire and Notice to an Indian Tribe, Nation or Band of Youth Committed to Juvenile Rehabilitation (Jr) - Washington

DSHS Form 09-539A Indian Heritage Questionnaire and Notice to an Indian Tribe, Nation or Band of Youth Committed to Juvenile Rehabilitation (Jr) - Washington

What Is DSHS Form 09-539A?

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 09-539A?
A: DSHS Form 09-539A is the Indian Heritage Questionnaire and Notice to an Indian Tribe, Nation, or Band of Youth Committed to Juvenile Rehabilitation (Jr) in Washington.

Q: What is the purpose of DSHS Form 09-539A?
A: The purpose of DSHS Form 09-539A is to collect information about the Indian heritage of youth committed to juvenile rehabilitation and to notify an Indian Tribe, Nation, or Band of the youth's commitment.

Q: Who needs to fill out DSHS Form 09-539A?
A: Juvenile Rehabilitation (Jr) staff in Washington need to fill out DSHS Form 09-539A for youth committed to juvenile rehabilitation who identify as Indian or have Indian heritage.

Q: What information is collected in DSHS Form 09-539A?
A: DSHS Form 09-539A collects information about the youth's Indian heritage, including tribal affiliation, enrollment number, and contact information for the relevant Tribe, Nation, or Band.

Q: Why is it important to collect Indian heritage information for youth committed to juvenile rehabilitation?
A: Collecting Indian heritage information is important to ensure that the youth's cultural needs are respected and to facilitate communication and collaboration with their Tribe, Nation, or Band.

Q: What happens after DSHS Form 09-539A is filled out?
A: After DSHS Form 09-539A is filled out, the relevant Tribe, Nation, or Band is notified of the youth's commitment and may provide input and support in the rehabilitation process.

Q: Is DSHS Form 09-539A mandatory?
A: Yes, DSHS Form 09-539A is mandatory for Juvenile Rehabilitation (Jr) staff in Washington when working with youth committed to juvenile rehabilitation who identify as Indian or have Indian heritage.

Q: Are there any fees associated with DSHS Form 09-539A?
A: There are no specified fees associated with DSHS Form 09-539A. However, it is best to check with the Washington State Department of Social and Health Services or Juvenile Rehabilitation (Jr) staff for any applicable administrative fees.

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Form Details:

  • Released on January 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 09-539A 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 09-539A Indian Heritage Questionnaire and Notice to an Indian Tribe, Nation or Band of Youth Committed to Juvenile Rehabilitation (Jr) - Washington

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