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DSHS Form 27-168 Authorization of Disclosure - Washington
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 specified information by the Department of Social and Health Services (DSHS).
Q: What information can be disclosed with DSHS Form 27-168?
A: DSHS Form 27-168 allows for the disclosure of various types of information, such as personal and medical records.
Q: Who needs to fill out DSHS Form 27-168?
A: Anyone who wants the DSHS to disclose their information to a third party needs to fill out DSHS Form 27-168.
Q: Is there a fee for submitting DSHS Form 27-168?
A: No, there is no fee for submitting DSHS Form 27-168.
Q: How long is DSHS Form 27-168 valid?
A: DSHS Form 27-168 is typically valid for one year from the date of signature.
Q: Can DSHS Form 27-168 be revoked?
A: Yes, the authorizing party can revoke DSHS Form 27-168 at any time by submitting a written revocation to the DSHS.
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.
