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DSHS Form 27-168 Authorization of Disclosure - Washington (English / Chinese)
What Is DSHS Form 27-168?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 27-168?
A: DSHS Form 27-168 is the Authorization of Disclosure form used in Washington state.
Q: What is the purpose of DSHS Form 27-168?
A: The purpose of DSHS Form 27-168 is to authorize the disclosure of personal information by the Washington Department of Social and Health Services (DSHS).
Q: Who uses DSHS Form 27-168?
A: Individuals who receive services from DSHS or their authorized representatives use DSHS Form 27-168.
Q: What information can be disclosed with DSHS Form 27-168?
A: DSHS Form 27-168 allows for the disclosure of personal information related to an individual's health, financial, or social services.
Q: Is DSHS Form 27-168 available in Chinese?
A: Yes, DSHS Form 27-168 is available in both English and Chinese.
Form Details:
- Released on June 1, 2018;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Cambodian;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 27-168 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
