This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-225 for the current year.
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.
Q: What is DSHS Form 14-225?
A: DSHS Form 14-225 is the Acknowledgement of Services form used in Washington.
Q: Who uses DSHS Form 14-225?
A: This form is used by the Washington State Department of Social and Health Services (DSHS).
Q: What is the purpose of DSHS Form 14-225?
A: The purpose of this form is to acknowledge the receipt of services provided by DSHS to individuals from the Hmong community.
Q: What information is required on DSHS Form 14-225?
A: The form requires information such as the client's name, address, date of birth, case number, and a declaration of understanding the services provided.
Form Details:
Download a printable version of DSHS Form 14-225 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.