This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 17-041 for the current year.
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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 17-041?
A: DSHS Form 17-041 is a request form for DSHS records in Washington.
Q: What is the purpose of DSHS Form 17-041?
A: The purpose of DSHS Form 17-041 is to request DSHS records.
Q: Who can use DSHS Form 17-041?
A: Any individual or organization can use DSHS Form 17-041 to request DSHS records.
Q: Is DSHS Form 17-041 available in Korean?
A: Yes, DSHS Form 17-041 is available in Korean.
Form Details:
Download a printable version of DSHS Form 17-041 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.