This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-436 for the current year.
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 Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-436?
A: DSHS Form 14-436 is the Statement of Adult Acting in Loco Parentis (As a Parent) form in Washington.
Q: What is the purpose of DSHS Form 14-436?
A: The purpose of DSHS Form 14-436 is to establish someone as an adult acting in loco parentis for a child.
Q: Who should fill out DSHS Form 14-436?
A: Someone who is acting as a parent to a child and wishes to establish legal rights and responsibilities should fill out this form.
Q: Is DSHS Form 14-436 available in other languages?
A: Yes, DSHS Form 14-436 is available in Somali.
Q: Do I need to provide any supporting documents with DSHS Form 14-436?
A: Yes, you may need to provide supporting documents such as proof of relationship or guardianship.
Q: What are the consequences of filling out DSHS Form 14-436?
A: By filling out this form, you may gain certain legal rights and responsibilities for the child in your care.
Q: Who can I contact for more information about DSHS Form 14-436?
A: You can contact the Washington Department of Social and Health Services (DSHS) for more information about this form.
Form Details:
Download a printable version of DSHS Form 14-436 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.