DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong)

DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 11-055?
A: DSHS Form 11-055 is the Acknowledgement of My Responsibilities as the Employer of My Individual Providers form.

Q: Who is the document intended for?
A: The document is intended for individuals who are employing individual providers in Washington.

Q: What is the purpose of this form?
A: The purpose of this form is to acknowledge and understand the responsibilities of being an employer of individual providers.

Q: What language is this form in?
A: This form is in the Hmong language.

ADVERTISEMENT

Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 11-055 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 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong)

4.4 of 5 (58 votes)
  • DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong)

    1

  • DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong), Page 2

    2

  • DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong), Page 1
  • DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington (Hmong), Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents