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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 10-639
for the current year.
DSHS Form 10-639 Overnight Planned Respite Services (Oprs) Certification Evaluation - Washington
What Is DSHS Form 10-639?
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 10-639?
A: DSHS Form 10-639 is a form used for Overnight Planned Respite Services (OPRS) Certification Evaluation in Washington.
Q: What is Overnight Planned Respite Services (OPRS)?
A: Overnight Planned Respite Services (OPRS) are temporary overnight care services provided to individuals who need assistance or supervision.
Q: Who is eligible for Overnight Planned Respite Services (OPRS)?
A: Individuals who require assistance or supervision and meet the eligibility criteria set by Washington state are eligible for Overnight Planned Respite Services (OPRS).
Q: What is the purpose of the Certification Evaluation?
A: The purpose of the Certification Evaluation is to assess and determine the eligibility of individuals and organizations to provide Overnight Planned Respite Services (OPRS).
Q: What information is required on DSHS Form 10-639?
A: DSHS Form 10-639 requires information about the applicant, their qualifications or organization, and details about the services they intend to provide.
Q: How do I submit DSHS Form 10-639?
A: You can submit DSHS Form 10-639 by mail, fax, or in person at your local DSHS office.
Q: What happens after submitting DSHS Form 10-639?
A: After submitting DSHS Form 10-639, the Certification Evaluation process will be initiated, and you will be notified of the decision regarding your application.
Q: How long does it take to get a decision on the Certification Evaluation?
A: The time taken to receive a decision on the Certification Evaluation may vary, but you will be notified of the outcome within a reasonable timeframe.
Q: Are there any fees associated with the Certification Evaluation?
A: There may be fees associated with the Certification Evaluation, and the specific fee structure can be obtained from the Department of Social and Health Services (DSHS) or the relevant guidelines.
Form Details:
- Released on July 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 10-639 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 10-639 Overnight Planned Respite Services (Oprs) Certification Evaluation - Washington
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