This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 17-041 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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS?
A: DSHS stands for Department of Social and Health Services.
Q: What is Form 17-041?
A: Form 17-041 is a request form for DSHS records in Washington.
Q: What is the purpose of the form?
A: The form is used to request DSHS records.
Q: Who can use this form?
A: Anyone can use this form to request DSHS records.
Q: Is this form specific to the Lao language?
A: Yes, this form is specifically for use in the Lao language.
Form Details:
Download a printable version of DSHS Form 17-041 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.