DSHS Form 17-063 Authorization - Washington (Oromo)

DSHS Form 17-063 Authorization - Washington (Oromo)

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 Oromo. 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 document used in Washington state to authorize and consent to various services provided by the Department of Social and Health Services.

Q: Who can use DSHS Form 17-063 Authorization?
A: This form can be used by individuals who are clients or recipients of DSHS programs and services.

Q: What does DSHS Form 17-063 Authorization allow me to do?
A: This form allows individuals to authorize the release of their personal information, consent to specific services, and designate a representative to act on their behalf.

Q: Do I need to fill out DSHS Form 17-063 Authorization every time I access DSHS services?
A: No, once you have signed and submitted this form, it remains valid until you revoke or modify your authorization.

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Form Details:

  • Released on August 1, 2011;
  • 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 (Oromo)

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