DSHS Form 17-211 Authorization for Ssi Facilitation Records - Washington (Vietnamese)

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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 17-211?
A: DSHS Form 17-211 is the Authorization for SSI Facilitation Records in Washington.

Q: Who needs to fill out this form?
A: This form needs to be filled out by individuals in Washington who are applying for SSI benefits.

Q: What is the purpose of this form?
A: The purpose of this form is to authorize the Washington State Department of Social and Health Services (DSHS) to release the necessary records for an SSI application.

Q: Is this form available in Vietnamese?
A: Yes, this form is available in Vietnamese for those who prefer to read and fill it out in that language.

Q: Do I need to submit this form with my SSI application?
A: Yes, this form needs to be submitted along with your SSI application to authorize the release of the necessary records.

Q: Can I get help filling out this form?
A: Yes, you can seek assistance from the Washington State Department of Social and Health Services (DSHS) or other authorized organizations to help you fill out this form.