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

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 Tagalog. 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 an Acknowledgement of My Responsibilities as the Employer of My Individual Providers form in Washington (Tagalog language).

Q: Who is the employer of individual providers?
A: The individual providers are employed by the person receiving services (the employer).

Q: What is the purpose of DSHS Form 11-055?
A: The form is used to acknowledge the responsibilities of the employer of individual providers in Washington.

Q: What information does DSHS Form 11-055 contain?
A: The form contains information about the employer's responsibilities regarding training, supervision, payroll, taxes, and more.

Q: Do I need to fill out DSHS Form 11-055?
A: If you are the employer of individual providers in Washington, it is mandatory to fill out and submit this form.

Q: Can I fill out DSHS Form 11-055 in Tagalog language?
A: Yes, DSHS Form 11-055 is available in Tagalog language for individuals who prefer to communicate in that language.

Q: Are there any other languages available for DSHS Form 11-055?
A: Yes, the form is also available in other languages including English and Spanish.