DSHS Form 17-063 Authorization - Washington (Cambodian)

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DSHS Form 17-063 Authorization - Washington (Cambodian)

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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 17-063 Authorization?
A: DSHS Form 17-063 Authorization is a form used in Washington state that grants consent or authorization for various services or activities related to the Department of Social and Health Services (DSHS).

Q: What is the purpose of DSHS Form 17-063 Authorization?
A: The purpose of DSHS Form 17-063 Authorization is to allow individuals to provide consent or authorization for specific services or activities, such as releasing personal information, accessing medical records, or participating in programs.

Q: Who needs to use DSHS Form 17-063 Authorization?
A: Anyone who needs to grant consent or authorization for services or activities related to the Department of Social and Health Services (DSHS) in Washington state may need to use DSHS Form 17-063 Authorization.

Q: Is DSHS Form 17-063 Authorization specific to the Cambodian language?
A: Yes, DSHS Form 17-063 Authorization is available in the Cambodian language to accommodate individuals who are more comfortable communicating in Cambodian.

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Form Details:

  • Released on February 1, 2016;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 17-063 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 17-063 Authorization - Washington (Cambodian)

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