DSHS Form 15-509 Provider Program Report of Community Guide and Engagement Services - Washington

DSHS Form 15-509 Provider Program Report of Community Guide and Engagement Services - Washington

What Is DSHS Form 15-509?

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 15-509?
A: DSHS Form 15-509 is a Provider Program Report of Community Guide and Engagement Services in Washington.

Q: What is the purpose of DSHS Form 15-509?
A: The purpose of DSHS Form 15-509 is to report community guide and engagement services provided by a provider.

Q: Who is required to submit DSHS Form 15-509?
A: Providers who offer community guide and engagement services in Washington are required to submit DSHS Form 15-509.

Q: What information is required to be reported on DSHS Form 15-509?
A: DSHS Form 15-509 requires information such as the number of individuals served, types of services provided, and outcomes achieved.

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Form Details:

  • Released on October 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 15-509 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 15-509 Provider Program Report of Community Guide and Engagement Services - Washington

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  • DSHS Form 15-509 Provider Program Report of Community Guide and Engagement Services - Washington, Page 1
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