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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 16-195?
A: DSHS Form 16-195 is a form used by the Department of Social and Health Services in Washington.
Q: What does the form collect information about?
A: The form collects information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative.
Q: What is an NSA Representative?
A: An NSA Representative is a person who has been designated to represent an individual in obtaining necessary supplemental accommodations.
Q: What is the purpose of the form?
A: The form is used to gather information about the NSA Representative and their responsibilities.
Q: Is this form specific to Washington?
A: Yes, this form is specific to Washington state.
Q: Is a Korean version of the form available?
A: Yes, there is a Korean version of the form available.
Form Details:
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.