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DSHS Form 17-258 Companion Home Client Cash Ledger - Washington
What Is DSHS Form 17-258?
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.
FAQ
Q: What is DSHS Form 17-258?
A: DSHS Form 17-258 is a Companion Home Client Cash Ledger for Washington State.
Q: What is a Companion Home?
A: A Companion Home is a residence where a person with a disability lives with a caregiver who provides support and assistance.
Q: What is the purpose of DSHS Form 17-258?
A: The purpose of DSHS Form 17-258 is to track and document the cash transactions related to the Companion Home services provided.
Q: Who uses DSHS Form 17-258?
A: The Companion Home client and their caregiver, along with the Washington State Department of Social and Health Services (DSHS), use this form.
Q: What information is recorded on DSHS Form 17-258?
A: The form captures details such as the client's name, caregiver's name, payment dates, amount received or spent, and any comments or remarks regarding the transaction.
Form Details:
- Released on November 1, 2018;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 17-258 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 17-258 Companion Home Client Cash Ledger - Washington
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