DSHS Form 17-257 Companion Home Client Budget Worksheet - Washington

DSHS Form 17-257 Companion Home Client Budget Worksheet - Washington

What Is DSHS Form 17-257?

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.

FAQ

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.

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Form Details:

  • Released on November 1, 2018;
  • 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;
  • Fill out the form in our online filing application.

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.

Download DSHS Form 17-257 Companion Home Client Budget Worksheet - Washington

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