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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DSHS Form 09-004C?
A: DSHS Form 09-004C is the Voluntary Placement Agreement (VPA) for Child or Youth With Developmental Disabilities in Washington.
Q: What is the purpose of the VPA?
A: The purpose of the VPA is to establish a voluntary placement agreement for a child or youth with developmental disabilities.
Q: Who is the form intended for?
A: The form is intended for parents, legal guardians, or authorized representatives of the child or youth with developmental disabilities.
Q: Which state is this form specific to?
A: This form is specific to the state of Washington.
Q: Is the form available in Chinese?
A: Yes, the form is available in Chinese.
Form Details:
Download a printable version of DSHS Form 09-004C by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.