DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington (Lao)

DSHS Form 16-195 Information About Your Role as the Identified Necessary Supplemental Accommodation (Nsa) Representative - Washington (Lao)

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 Lao. 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 used in Washington for providing information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative.

Q: What is the purpose of DSHS Form 16-195?
A: The purpose of DSHS Form 16-195 is to provide information about your role as the NSA Representative in Washington.

Q: Who needs to fill out DSHS Form 16-195?
A: The NSA Representative in Washington needs to fill out DSHS Form 16-195.

Q: What information is needed in DSHS Form 16-195?
A: DSHS Form 16-195 requires information about your role and responsibilities as the NSA Representative.

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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 (Lao)

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