This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 17-257?
A: DSHS Form 17-257 is the Companion Home Client Budget Worksheet in Washington.
Q: What is the purpose of DSHS Form 17-257?
A: The purpose of DSHS Form 17-257 is to calculate the client's budget for the Companion Home program in Washington.
Q: How can I obtain DSHS Form 17-257?
A: You can obtain DSHS Form 17-257 from the Department of Social and Health Services (DSHS) in Washington.
Q: What information is required in DSHS Form 17-257?
A: DSHS Form 17-257 requires information about the client's income, expenses, assets, and household composition.
Q: Who should fill out DSHS Form 17-257?
A: DSHS Form 17-257 should be filled out by the client or their authorized representative.
Q: Is DSHS Form 17-257 specific to Washington state?
A: Yes, DSHS Form 17-257 is specific to Washington state and is used for the Companion Home program in the state.
Q: What is the Companion Home program in Washington?
A: The Companion Home program in Washington provides support and care for individuals who need assistance with activities of daily living.
Form Details:
Download a printable version of DSHS Form 17-257 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.