This version of the form is not currently in use and is provided for reference only. Download this version of DCYF Form 15-412 for the current year.
This is a legal form that was released by the Washington State Department of Children, Youth, and Families - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DCYF Form 15-412?
A: The DCYF Form 15-412 is a Disability Verification form for youth over age 18 in Washington.
Q: Who is this form for?
A: This form is for youth over age 18 in Washington who have a disability and need to provide verification of their disability.
Q: What is the purpose of this form?
A: The purpose of this form is to gather information and documentation about an individual's disability in order to determine eligibility for specific services or resources.
Q: What information is required on this form?
A: The form requires information about the individual's personal details, medical history, functional limitations, and any supporting documentation from healthcare providers.
Q: Who should fill out this form?
A: The individual who has a disability and needs to provide verification of their disability should fill out this form. They may also need assistance from healthcare providers or other professionals.
Q: Is there a deadline for submitting this form?
A: The form should be submitted within the specified timeframe provided by the organization or agency requiring the disability verification.
Q: What should I do if I have questions about this form?
A: If you have questions about the DCYF Form 15-412, you should contact the Washington State Department of Children, Youth, and Families (DCYF) for assistance.
Form Details:
Download a fillable version of DCYF Form 15-412 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.