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 Samoan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-225 SA?
A: DSHS Form 14-225 SA is the Acknowledgement of Services form in Washington (Samoan).
Q: What is the purpose of DSHS Form 14-225 SA?
A: The purpose of DSHS Form 14-225 SA is to acknowledge the receipt of services provided.
Q: Who uses DSHS Form 14-225 SA?
A: DSHS Form 14-225 SA is used by individuals in Washington (Samoan) who have received services.
Q: Is DSHS Form 14-225 SA specific to the Samoan language?
A: Yes, DSHS Form 14-225 SA is specific to the Samoan language in Washington.
Q: Do I need to fill out DSHS Form 14-225 SA?
A: If you have received services in Washington and are fluent in Samoan, you may need to fill out DSHS Form 14-225 SA.
Q: What information is required in DSHS Form 14-225 SA?
A: DSHS Form 14-225 SA requires information such as the individual's personal details, the services received, and the signature of the individual.
Q: Is DSHS Form 14-225 SA available in other languages?
A: No, DSHS Form 14-225 SA is only available in Samoan for Washington residents.
Form Details:
Download a printable version of DSHS Form 14-225 SA by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.