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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 11-134
for the current year.
DSHS Form 11-134 Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services - Washington
What Is DSHS Form 11-134?
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?
A: DSHS stands for the Department of Social and Health Services.
Q: What is Form 11-134?
A: Form 11-134 is a specific form used for Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services.
Q: What does Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services refer to?
A: Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services is a process used to assess eligibility for certain services for individuals who are both deaf and blind.
Q: What is Washington?
A: Washington is the state where the form is used.
Q: What are Level 4 Crp Services?
A: Level 4 Crp Services are specific services provided to individuals who are deaf-blind.
Form Details:
- Released on July 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 11-134 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 11-134 Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services - Washington
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