DSHS Form 17-211 Authorization for Ssi Facilitation Records - Washington (Lao)

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.

FAQ

Q: What is the DSHS Form 17-211?
A: The DSHS Form 17-211 is a form used in Washington State for authorizing access to SSI facilitation records.

Q: What is SSI?
A: SSI stands for Supplemental Security Income, a federal program that provides financial assistance to individuals with limited income and resources.

Q: What are SSI facilitation records?
A: SSI facilitation records refer to the documents related to the facilitation services provided by the state for SSI applicants.

Q: Who needs to fill out the DSHS Form 17-211?
A: The DSHS Form 17-211 needs to be filled out by individuals who want to authorize access to their SSI facilitation records in Washington State.

Q: What is the purpose of the DSHS Form 17-211?
A: The purpose of the DSHS Form 17-211 is to grant permission for the release of SSI facilitation records to authorized individuals or organizations.

Q: Can the DSHS Form 17-211 be completed in languages other than English?
A: Yes, the DSHS Form 17-211 is available in multiple languages, including Lao.

Q: Is there a fee for submitting the DSHS Form 17-211?
A: No, there is no fee for submitting the DSHS Form 17-211.

Q: What should I do if I need help filling out the DSHS Form 17-211?
A: If you need help filling out the DSHS Form 17-211, you can contact the Washington State Department of Social and Health Services for assistance.