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 Portuguese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 17-063 Authorization?
A: DSHS Form 17-063 Authorization is a form used in Washington state for authorizing certain 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 grant authorization for specific actions such as releasing medical information or designating a representative for receiving benefits.
Q: Who can use DSHS Form 17-063 Authorization?
A: Any individual who is involved with DSHS services in Washington state may need to use DSHS Form 17-063 Authorization.
Q: Are there different versions of DSHS Form 17-063 Authorization?
A: Yes, there might be different versions of DSHS Form 17-063 Authorization for specific purposes. It is important to use the correct version for the intended authorization.
Form Details:
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.