This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 16-172 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. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 16-172?
A: DSHS Form 16-172 is a document that outlines your rights and responsibilities when you receive services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What does DSHS stand for?
A: DSHS stands for the Department of Social and Health Services.
Q: Who is the document intended for?
A: The document is intended for individuals who receive services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What does the document cover?
A: The document covers your rights and responsibilities as a recipient of services provided by Aging and Long-Term Support Administration and Developmental Disabilities Administration.
Form Details:
Download a printable version of DSHS Form 16-172 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.