This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-012 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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-012?
A: DSHS Form 14-012 is a consent form used in Washington state.
Q: Who is the form for?
A: The form is for Hmong individuals residing in Washington state.
Q: What is the purpose of the form?
A: The form is used to obtain consent from Hmong individuals for certain actions or purposes.
Q: What information is required on the form?
A: The form requires the individual's personal information, the specific action or purpose for which consent is being given, and the individual's signature.
Q: Is the form legally binding?
A: Yes, once signed, the form is legally binding.
Q: Can the form be revoked?
A: Yes, the form can be revoked by the individual at any time.
Q: Are there any fees associated with the form?
A: No, there are no fees associated with DSHS Form 14-012.
Form Details:
Download a printable version of DSHS Form 14-012 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.