DSHS Form 14-417 Ccsp Application - Washington

DSHS Form 14-417 Ccsp Application - Washington

What Is DSHS Form 14-417?

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.

FAQ

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.

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Form Details:

  • Released on September 1, 2018;
  • 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;
  • Fill out the form in our online filing application.

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.

Download DSHS Form 14-417 Ccsp Application - Washington

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