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DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington (Cambodian)
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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 16-195?
A: DSHS Form 16-195 is a form that provides information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative in Washington for Cambodian individuals.
Q: What does DSHS stand for?
A: DSHS stands for the Department of Social and Health Services.
Q: What is the purpose of DSHS Form 16-195?
A: The purpose of DSHS Form 16-195 is to gather relevant information about the NSA Representative for Cambodian individuals in Washington.
Q: Who is the form intended for?
A: The form is intended for those individuals who have been identified as the necessary supplemental accommodation (NSA) representative for Cambodian residents in Washington.
Q: What information does the form require?
A: The form requires information about the NSA representative, such as their name, address, contact information, and language proficiency.
Form Details:
- Released on September 1, 2017;
- 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;
Download a printable version of DSHS Form 16-195 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 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington (Cambodian)
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