PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-570
for the current year.
DSHS Form 10-570 Intake and Referral - Washington
What Is DSHS Form 10-570?
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 10-570?
A: DSHS Form 10-570 is an Intake and Referral form used by the Washington State Department of Social and Health Services (DSHS).
Q: What is the purpose of DSHS Form 10-570?
A: The purpose of DSHS Form 10-570 is to gather information about an individual's needs and refer them to the appropriate social and health services provided by DSHS.
Q: Who can use DSHS Form 10-570?
A: DSHS Form 10-570 can be used by individuals who are seeking assistance with social and health services in Washington State.
Q: What information is needed on DSHS Form 10-570?
A: DSHS Form 10-570 requires information about the individual's personal details, household composition, income, expenses, and specific needs or issues they are facing.
Form Details:
- Released on August 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 10-570 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 10-570 Intake and Referral - Washington
1
2
