DSHS Form 10-417 Adult Family Home Caregiver Experience Attestation (Cea) - Washington

What Is DSHS Form 10-417?

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 10-417?
A: DSHS Form 10-417 is the Adult Family Home Caregiver Experience Attestation (CEA) form used in the state of Washington.

Q: Who needs to fill out DSHS Form 10-417?
A: Adult Family Home caregivers in Washington need to fill out this form.

Q: What is the purpose of DSHS Form 10-417?
A: The purpose of this form is to attest to the caregiver's experience and qualifications to provide care in an Adult Family Home.

Q: Do I need to submit DSHS Form 10-417 with other documents?
A: Yes, you will need to submit this form along with other required documents when applying to become an Adult Family Home caregiver in Washington.

Q: Are there any fees associated with DSHS Form 10-417?
A: No, there are no fees associated with this form.

Q: How long does it take to process DSHS Form 10-417?
A: Processing time can vary, but it typically takes several weeks for the form to be reviewed and approved.

Q: What happens after I submit DSHS Form 10-417?
A: After submitting the form, DSHS will review your application and contact you regarding the next steps in the process.

Q: Can I make changes to DSHS Form 10-417 after submitting it?
A: No, you should not make any changes to the form once it has been submitted. Contact DSHS if you need to update any information.