This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 10-611 Attachment A for the current year.
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.
Q: What is DSHS Form 10-611?
A: DSHS Form 10-611 is the form used for Ccrss Certification Evaluation Face Sheet - Certified Community Residential Services and Supports in Washington.
Q: What is Ccrss?
A: Ccrss stands for Certified Community Residential Services and Supports.
Q: What is the purpose of DSHS Form 10-611 Attachment A?
A: The purpose of DSHS Form 10-611 Attachment A is to provide certification evaluation information for Ccrss in Washington.
Q: What does the face sheet of DSHS Form 10-611 Attachment A consist of?
A: The face sheet of DSHS Form 10-611 Attachment A consists of information relevant to the certification evaluation for Ccrss in Washington.
Form Details:
Download a printable version of DSHS Form 10-611 Attachment A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.