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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 17-041
for the current year.
DSHS Form 17-041 Request for Dshs Records - Washington (Korean)
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.
FAQ
Q: What is DSHS Form 17-041?
A: DSHS Form 17-041 is a form used to request DSHS records in Washington.
Q: Is DSHS Form 17-041 available in Korean?
A: Yes, DSHS Form 17-041 is available in Korean for convenience.
Q: What can I use DSHS Form 17-041 for?
A: You can use DSHS Form 17-041 to request your DSHS records or the records of someone you are authorized to request for.
Q: Do I have to pay to submit DSHS Form 17-041?
A: No, there is no fee to submit DSHS Form 17-041.
Form Details:
- Released on December 1, 2019;
- 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 17-041 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
