DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong)

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DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong)

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.

FAQ

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.

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Form Details:

  • Released on March 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;

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.

Download DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong)

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  • DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong), Page 1
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