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DSHS Form 16-238 Ccsp Statement of Collateral Information - Washington
What Is DSHS Form 16-238?
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 16-238?
A: DSHS Form 16-238 is a form used to provide a statement of collateral information for the Community First Choice (CFC) program in Washington.
Q: What is the CFC program in Washington?
A: The CFC program in Washington is a state program that provides personal care and support services to individuals who have a functional disability and need assistance with activities of daily living.
Q: Who needs to complete DSHS Form 16-238?
A: Individuals who are applying for or receiving services through the CFC program in Washington may need to complete DSHS Form 16-238.
Q: What information is required on DSHS Form 16-238?
A: DSHS Form 16-238 requires information about the individual's income, assets, and other financial resources that may be considered when determining eligibility for the CFC program.
Q: Is DSHS Form 16-238 specific to Washington only?
A: Yes, DSHS Form 16-238 is specific to the state of Washington and is used for the CFC program in that state.
Form Details:
- Released on January 1, 2018;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Somali;
- 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 16-238 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
