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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 16-172?
A: DSHS Form 16-172 is a document that outlines your rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What does the form cover?
A: The form covers important information regarding your rights as a recipient of services and outlines your responsibilities in utilizing the services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration.
Q: Who is this form intended for?
A: This form is intended for individuals who receive services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What is the purpose of this form?
A: The purpose of this form is to ensure that individuals receiving services are aware of their rights and responsibilities, and to provide them with important information on how to access and utilize the services effectively.
Form Details:
Download a printable version of DSHS Form 16-172 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.