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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 Records - Washington (Somali)
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 Somali. 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 records from the Washington State Department of Social and Health Services (DSHS).
Q: Who can use DSHS Form 17-041?
A: Anyone who needs to request records from DSHS can use this form.
Q: What kind of records can be requested with DSHS Form 17-041?
A: This form can be used to request a variety of records from DSHS, including medical records, case files, and adoption records.
Q: Are there any fees associated with submitting DSHS Form 17-041?
A: There may be fees associated with requesting records using this form. The fee amount varies depending on the type of records requested.
Q: How long does it take to process a request made with DSHS Form 17-041?
A: The processing time for requests made using this form can vary, but DSHS aims to respond within 30 days.
Q: Is DSHS Form 17-041 available in languages other than English?
A: Yes, DSHS Form 17-041 is available in multiple languages, including Somali.
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.
