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 Mien. 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 regarding your rights and responsibilities when receiving services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What does the form cover?
A: The form covers the rights and responsibilities that you have when receiving services from these specific administrations.
Q: Who is this form for?
A: This form is for individuals who are receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
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.