DSHS Form 11-066 Assistive Communication Technology Request - Washington

What Is DSHS Form 11-066?

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 11-066?
A: DSHS Form 11-066 is a form used for requesting assistive communication technology in the state of Washington.

Q: Who can use DSHS Form 11-066?
A: Any individual who is a resident of Washington state and in need of assistive communication technology can use DSHS Form 11-066.

Q: What is assistive communication technology?
A: Assistive communication technology refers to devices or systems that help individuals with communication challenges, such as speech impairments or disabilities, to effectively communicate.

Q: What information is required on DSHS Form 11-066?
A: DSHS Form 11-066 requires information such as the individual's personal details, medical information, and a description of the requested assistive communication technology.

Q: Is there a deadline for submitting DSHS Form 11-066?
A: There is no specific deadline mentioned for submitting DSHS Form 11-066, but it is recommended to submit the form as soon as possible to avoid delays in processing.

Q: Who should I contact for assistance with DSHS Form 11-066?
A: You can contact the Washington State Department of Social and Health Services (DSHS) or your local DSHS office for any assistance or clarification regarding DSHS Form 11-066.