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.
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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS?
A: DSHS stands for the Department of Social and Health Services.
Q: What is Form 17-041?
A: Form 17-041 is the official request form for DSHS records in the state of Washington.
Q: What can I use Form 17-041 for?
A: You can use Form 17-041 to request DSHS records.
Q: Can I request DSHS records in a language other than English?
A: Yes, you can request DSHS records in languages other than English, such as Lao.
Q: Do I need to pay a fee to request DSHS records?
A: There may be a fee associated with requesting DSHS records, but it depends on the specific request.
Q: How long does it take to process a request for DSHS records?
A: The processing time for a request for DSHS records can vary, but it typically takes several weeks.
Form Details:
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.