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 14-417?
A: DSHS Form 14-417 is an application form for the Community Options Program Entry System (COPES) in Washington.
Q: What does CCSP stand for?
A: CCSP stands for Community Options Program Entry System.
Q: Who can fill out DSHS Form 14-417?
A: The applicant or their authorized representative can fill out this form.
Q: What is the purpose of the CCSP application?
A: The purpose of the CCSP application is to apply for services and support through the Community Options Program Entry System.
Q: Is there a fee for submitting the CCSP application?
A: No, there is no fee for submitting the CCSP application.
Q: What information is required on DSHS Form 14-417?
A: The form asks for personal, contact, and financial information, as well as information about the applicant's health and care needs.
Q: How long does it take to process the CCSP application?
A: The processing time varies, but it can take several weeks to months to process the application.
Q: What happens after submitting the CCSP application?
A: After submitting the CCSP application, the applicant may be contacted for further assessment or to provide additional documentation.
Q: Who can I contact for help with the CCSP application?
A: You can contact the Washington State Department of Social and Health Services (DSHS) or local DSHS office for assistance with the CCSP application.
Form Details:
Download a printable version of DSHS Form 14-417 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.