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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 10-646
for the current year.
DSHS Form 10-646 Residential Evaluation Family / Legal Representative / Collateral Relationships Interview - Washington
What Is DSHS Form 10-646?
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.
FAQ
Q: What is DSHS Form 10-646?
A: DSHS Form 10-646 is a Residential Evaluation Family / Legal Representative / Collateral Relationships Interview form used in Washington.
Q: What is the purpose of DSHS Form 10-646?
A: The purpose of DSHS Form 10-646 is to gather information about family, legal representatives, and collateral relationships for a residential evaluation.
Q: Who uses DSHS Form 10-646?
A: DSHS Form 10-646 is used by the Washington State Department of Social and Health Services (DSHS) for residential evaluations.
Q: What information does DSHS Form 10-646 collect?
A: DSHS Form 10-646 collects information about the individual's family, legal representatives, and collateral relationships, including names, addresses, and contact information.
Q: Are all sections of DSHS Form 10-646 required?
A: Yes, all sections of DSHS Form 10-646 are required to be completed.
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;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 10-646 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
