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 Chinese. 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 receiving services offered by Aging and Long-Term Support Administration (ALTSA) and Developmental Disabilities Administration (DDA) in Washington State.
Q: What does ALTSA stand for?
A: ALTSA stands for Aging and Long-Term Support Administration.
Q: What does DDA stand for?
A: DDA stands for Developmental Disabilities Administration.
Q: Who is this document for?
A: This document is for individuals who are receiving services offered by ALTSA and DDA in Washington State.
Q: What does this document cover?
A: This document covers your rights and responsibilities related to receiving services from ALTSA and DDA.
Q: What are some examples of services provided by ALTSA and DDA?
A: Some examples of services provided by ALTSA and DDA include long-term care services, in-home care, and support services for individuals with developmental disabilities.
Q: Why is this document important?
A: This document is important because it informs you about your rights and responsibilities when receiving services from ALTSA and DDA, ensuring that you are aware of your entitlements and obligations.
Q: Can I request a translated version of this document?
A: Yes, you can request a translated version of this document. Contact ALTSA and DDA for assistance.
Q: What should I do if I have questions or concerns about my rights and responsibilities?
A: If you have questions or concerns about your rights and responsibilities, you should contact ALTSA and DDA for clarification and assistance.
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.