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 Albanian. 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 from Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What agencies does the form pertain to?
A: The form pertains to services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What does the form explain?
A: The form explains your rights and responsibilities when receiving services from these agencies.
Q: Who is it intended for?
A: It is intended for individuals who receive services from Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What is the purpose of the form?
A: The purpose of the form is to inform individuals of their rights and responsibilities when accessing services from the mentioned agencies.
Q: Do I have to fill out the form?
A: No, the form is informational and does not require you to fill it out.
Q: Can I ask for assistance in completing the form?
A: Yes, you can ask for assistance from the staff of Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What should I do if I believe my rights have been violated?
A: If you believe your rights have been violated, you should contact the appropriate agency or file a complaint.
Q: Are there any resources available for further information?
A: Yes, the form provides contact information for the agencies mentioned, and they can provide further information.
Q: Is the form available in languages other than Albanian?
A: Yes, the form is likely available in multiple languages to cater to different residents in Washington.
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.