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DSHS Form 14-417B Family, Friend or Neighbor (Ffn) Provider Change Letter - Washington
What Is DSHS Form 14-417B?
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 14-417B?
A: DSHS Form 14-417B is a Family, Friend or Neighbor (FFN) Provider Change Letter used in Washington.
Q: What is the purpose of DSHS Form 14-417B?
A: The purpose of DSHS Form 14-417B is to notify the Department of Social and Health Services (DSHS) about a change in the Family, Friend or Neighbor (FFN) provider for a child receiving child care subsidy in Washington.
Q: Who can use DSHS Form 14-417B?
A: DSHS Form 14-417B can be used by parents or legal guardians of a child receiving child care subsidy in Washington.
Q: Is DSHS Form 14-417B mandatory?
A: Yes, it is mandatory to use DSHS Form 14-417B to notify DSHS about a change in the FFN provider for a child receiving child care subsidy in Washington.
Q: Are there any fees associated with DSHS Form 14-417B?
A: No, there are no fees associated with DSHS Form 14-417B.
Q: How should I submit DSHS Form 14-417B?
A: DSHS Form 14-417B can be submitted by mail or in person to the appropriate DSHS office in Washington.
Q: What information is required in DSHS Form 14-417B?
A: DSHS Form 14-417B requires information such as the child's name, Social Security number, current FFN provider details, and the new FFN provider details.
Form Details:
- Released on February 1, 2019;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Cambodian;
- 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 14-417B by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
