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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 17-041?
A: DSHS Form 17-041 is a request form for obtaining DSHS records in the state of Washington.
Q: Who can use DSHS Form 17-041?
A: Anyone who needs access to their DSHS records in Washington can use DSHS Form 17-041 to request them.
Q: Is DSHS Form 17-041 available in Vietnamese?
A: Yes, DSHS Form 17-041 is available in Vietnamese for those who prefer to use that language.
Q: What information is required on DSHS Form 17-041?
A: DSHS Form 17-041 requires your personal information, such as your name, address, and social security number, as well as details about the records you are requesting.
Q: Can I request DSHS records on behalf of someone else using this form?
A: Yes, you can request DSHS records on behalf of someone else using DSHS Form 17-041, but you will need to provide appropriate authorization or documentation.
Q: How long does it take to process a request using DSHS Form 17-041?
A: The processing time for requests using DSHS Form 17-041 can vary, but it typically takes a few weeks to receive a response.
Q: Are there any fees associated with requesting DSHS records using this form?
A: There may be fees associated with requesting DSHS records using DSHS Form 17-041, depending on the type and amount of records requested.
Q: What should I do if my request for DSHS records using this form is denied?
A: If your request for DSHS records using DSHS Form 17-041 is denied, you may have the option to appeal the decision or seek legal advice.
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.