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.
Q: What is DSHS Form 12-209?
A: DSHS Form 12-209 is a Client Fraud Report.
Q: What is the purpose of DSHS Form 12-209?
A: The purpose of DSHS Form 12-209 is to report client fraud.
Q: Who needs to fill out DSHS Form 12-209?
A: Anyone who suspects client fraud in Washington may fill out DSHS Form 12-209.
Q: How do I fill out DSHS Form 12-209?
A: You need to provide information about the suspected fraud, including the client's name, description of the fraud, and any supporting evidence or witnesses.
Q: What should I do after filling out DSHS Form 12-209?
A: After completing the form, you should submit it to the appropriate DSHS office or official for further investigation.
Q: Is DSHS Form 12-209 confidential?
A: Yes, the information provided on DSHS Form 12-209 is treated as confidential and is subject to privacy laws.
Q: Can I remain anonymous when submitting DSHS Form 12-209?
A: Yes, you have the option to remain anonymous when submitting DSHS Form 12-209.
Form Details:
Download a printable version of DSHS Form 12-209 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.