DSHS Form 21-061 Companion Home Monthly Emergency Evacuation Practice and Water Temperature Record - Washington

DSHS Form 21-061 Companion Home Monthly Emergency Evacuation Practice and Water Temperature Record - Washington

What Is DSHS Form 21-061?

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 21-061?
A: DSHS Form 21-061 is a document used in Washington for recording monthly emergency evacuation practice and water temperature in companion homes.

Q: What is the purpose of DSHS Form 21-061?
A: The purpose of DSHS Form 21-061 is to ensure that companion homes in Washington are prepared for emergency evacuations and maintain appropriate water temperature.

Q: What information is recorded on DSHS Form 21-061?
A: DSHS Form 21-061 records monthly emergency evacuation practice details, including the date, time, and type of practice. It also records water temperature readings.

Q: Who uses DSHS Form 21-061?
A: DSHS Form 21-061 is used by companion home operators in Washington to comply with emergency evacuation practice and water temperature requirements.

Q: Is DSHS Form 21-061 specific to a particular state?
A: Yes, DSHS Form 21-061 is specific to the state of Washington.

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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 21-061 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 21-061 Companion Home Monthly Emergency Evacuation Practice and Water Temperature Record - Washington

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