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 14-417A?
A: DSHS Form 14-417A is a document used in Washington state for Family, Friend and Neighbor (FFN) in-home/relative care.
Q: What is the purpose of DSHS Form 14-417A?
A: The purpose of DSHS Form 14-417A is to inform the recipient that their application for FFN in-home/relative care is pending.
Q: Who is this form for?
A: This form is for individuals applying for FFN in-home/relative care in Washington state.
Q: What information does this form provide?
A: This form provides information about the status of the application, including any additional documentation or steps that may be required.
Q: Is DSHS Form 14-417A specific to Washington state?
A: Yes, DSHS Form 14-417A is specific to Washington state and is used by the Department of Social and Health Services (DSHS).
Form Details:
Download a printable version of DSHS Form 14-417A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.