DSHS Form 14-493 Requirement to Identify a Representative (Developmental Disabilities Administration) - Washington

DSHS Form 14-493 Requirement to Identify a Representative (Developmental Disabilities Administration) - Washington

What Is DSHS Form 14-493?

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 14-493?
A: DSHS Form 14-493 is a document for identifying a representative for the Developmental Disabilities Administration (DDA) in Washington.

Q: What is the purpose of DSHS Form 14-493?
A: The purpose of DSHS Form 14-493 is to designate a representative who will act on behalf of an individual receiving services from the DDA.

Q: Who needs to fill out DSHS Form 14-493?
A: Any individual receiving services from the DDA may need to fill out DSHS Form 14-493 to identify a representative.

Q: What does the representative do?
A: The representative designated on DSHS Form 14-493 has the authority to act on behalf of the individual receiving services from the DDA.

Q: How can I obtain DSHS Form 14-493?
A: You can obtain DSHS Form 14-493 by contacting the Developmental Disabilities Administration (DDA) in Washington.

Q: Is there a deadline for submitting DSHS Form 14-493?
A: There may be specific deadlines for submitting DSHS Form 14-493, it is important to contact the Developmental Disabilities Administration (DDA) for specific information.

Q: Are there any fees associated with DSHS Form 14-493?
A: There are no fees associated with filling out DSHS Form 14-493.

Q: What if I need assistance in filling out DSHS Form 14-493?
A: If you need assistance in filling out DSHS Form 14-493, you can contact the Developmental Disabilities Administration (DDA) for guidance.

Q: Can I change or revoke the representative designated on DSHS Form 14-493?
A: Yes, you can change or revoke the representative designated on DSHS Form 14-493 by submitting a new form to the Developmental Disabilities Administration (DDA).

Q: Is DSHS Form 14-493 only applicable in Washington?
A: Yes, DSHS Form 14-493 is specific to the Developmental Disabilities Administration (DDA) in Washington.

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Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • 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 14-493 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 14-493 Requirement to Identify a Representative (Developmental Disabilities Administration) - Washington

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