This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 17-063 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. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 17-063?
A: DSHS Form 17-063 is an authorization form used by the Washington State Department of Social and Health Services.
Q: What is the purpose of DSHS Form 17-063?
A: The purpose of DSHS Form 17-063 is to authorize the release of confidential information to the Washington State Department of Social and Health Services.
Q: Who needs to use DSHS Form 17-063?
A: Individuals who want to grant permission for their confidential information to be released to the Washington State Department of Social and Health Services may need to use DSHS Form 17-063.
Q: What type of information can be authorized for release using DSHS Form 17-063?
A: DSHS Form 17-063 can be used to authorize the release of various types of confidential information, such as medical records, income information, and personal history information.
Form Details:
Download a printable version of DSHS Form 17-063 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.