DSHS Form 15-512 Companion Home and Alternative Living Services Incident Report - Washington

DSHS Form 15-512 Companion Home and Alternative Living Services Incident Report - Washington

What Is DSHS Form 15-512?

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 15-512?
A: DSHS Form 15-512 is an incident report form used for reporting incidents related to companion home and alternative living services in the state of Washington.

Q: Who uses DSHS Form 15-512?
A: Companion home and alternative living service providers in Washington use DSHS Form 15-512 to report incidents.

Q: What is the purpose of DSHS Form 15-512?
A: The purpose of DSHS Form 15-512 is to document and report incidents that occur in companion home and alternative living settings.

Q: What information is recorded on DSHS Form 15-512?
A: DSHS Form 15-512 collects information about the incident, including date, time, location, people involved, description of the incident, and any injuries or property damage that occurred.

Q: Is DSHS Form 15-512 mandatory?
A: Yes, companion home and alternative living service providers in Washington are required to use DSHS Form 15-512 to report incidents.

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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 15-512 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 15-512 Companion Home and Alternative Living Services Incident Report - Washington

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