This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 16-172 for the current year.
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 Trukese. 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 provides information about your rights and responsibilities when receiving services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: Who is this form for?
A: This form is for individuals who receive services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington, specifically tailored for those who speak Trukese language.
Q: What does the form cover?
A: The form covers information about your rights and responsibilities when receiving services from Aging and Long-Term Support Administration and Developmental Disabilities Administration. It specifically addresses these services in the context of the Trukese language.
Q: Are the rights and responsibilities the same for everyone?
A: No, the rights and responsibilities may vary depending on the specific services you receive and the applicable laws and regulations.
Q: What should I do if I have questions or need assistance?
A: If you have questions or need assistance, you can contact the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington. They will be able to provide you with the necessary information and support.
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.