PDF
Word
DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington
What Is DSHS Form 16-195?
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 16-195?
A: DSHS Form 16-195 is a form used to provide information about your role as the Identified Necessary Supplemental Accommodation (Nsa) Representative in Washington.
Q: What is the purpose of DSHS Form 16-195?
A: The purpose of DSHS Form 16-195 is to gather information about your responsibilities as the Identified Necessary Supplemental Accommodation (Nsa) Representative.
Q: Who needs to fill out DSHS Form 16-195?
A: The Identified Necessary Supplemental Accommodation (Nsa) Representative is required to fill out DSHS Form 16-195.
Q: What information is required on DSHS Form 16-195?
A: DSHS Form 16-195 requires information about your name, address, contact information, and your responsibilities as the Identified Necessary Supplemental Accommodation (Nsa) Representative.
Form Details:
- Released on September 1, 2017;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Cambodian;
- 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 16-195 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 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington
1
2
3
