PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-389
for the current year.
DSHS Form 10-389 Room List for Assisted Living Facilities (Alf) - Washington
What Is DSHS Form 10-389?
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 10-389?
A: DSHS Form 10-389 is a form used for the Room List for Assisted Living Facilities (ALF) in Washington.
Q: Who uses DSHS Form 10-389?
A: Assisted Living Facilities (ALF) in Washington use DSHS Form 10-389.
Q: What is the purpose of DSHS Form 10-389?
A: The purpose of DSHS Form 10-389 is to list the rooms in an Assisted Living Facility (ALF) in Washington.
Q: What information is included in DSHS Form 10-389?
A: DSHS Form 10-389 includes information about the rooms in an Assisted Living Facility (ALF), such as room numbers and types.
Form Details:
- Released on March 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 10-389 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
