DSHS Form 17-063 Authorization - Washington (Portuguese)

DSHS Form 17-063 Authorization - Washington (Portuguese)

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.

FAQ

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.

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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 (Portuguese)

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