DSHS Form 11-030 Service Delivery Outcome Report - Washington

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 11-030 for the current year.

DSHS Form 11-030 Service Delivery Outcome Report - Washington

What Is DSHS Form 11-030?

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 11-030?
A: DSHS Form 11-030 is the Service DeliveryOutcome Report used in Washington state.

Q: What is the purpose of DSHS Form 11-030?
A: The purpose of DSHS Form 11-030 is to track and report service delivery outcomes in Washington state.

Q: Who uses DSHS Form 11-030?
A: DSHS Form 11-030 is used by the Washington State Department of Social and Health Services (DSHS) and its partners.

Q: What information is included in DSHS Form 11-030?
A: DSHS Form 11-030 includes information about the services provided, outcomes achieved, and demographic details of the clients.

Q: How often is DSHS Form 11-030 submitted?
A: DSHS Form 11-030 is typically submitted monthly or quarterly, depending on the reporting requirements.

Q: Are there any penalties for not submitting DSHS Form 11-030?
A: Penalties for not submitting DSHS Form 11-030 can vary depending on the specific program and contractual agreements. It is important to follow the reporting requirements to avoid any potential penalties.

Q: Can DSHS Form 11-030 be submitted electronically?
A: Yes, DSHS Form 11-030 can be submitted electronically through the designated reporting system or portal.

Q: Can I request assistance in filling out DSHS Form 11-030?
A: Yes, if you need assistance in filling out DSHS Form 11-030, you can contact the Washington State Department of Social and Health Services (DSHS) or its partner organizations for support.

Q: Is DSHS Form 11-030 confidential?
A: Yes, DSHS Form 11-030 contains confidential client information and should be handled in accordance with privacy and confidentiality guidelines.

ADVERTISEMENT

Form Details:

  • Released on October 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 11-030 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 11-030 Service Delivery Outcome Report - Washington

4.6 of 5 (43 votes)
  • DSHS Form 11-030 Service Delivery Outcome Report - Washington, Page 1
ADVERTISEMENT

Related Documents