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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 11-134
for the current year.
DSHS Form 11-134 Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services - Washington
What Is DSHS Form 11-134?
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 11-134?
A: DSHS Form 11-134 is a Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services in Washington.
Q: What is the purpose of DSHS Form 11-134?
A: The purpose of DSHS Form 11-134 is to determine eligibility for Level 4 Crp Services for individuals who are deaf-blind in Washington.
Q: What are Level 4 Crp Services?
A: Level 4 Crp Services refer to the highest level of support services available for individuals who are deaf-blind in Washington.
Q: Who can use DSHS Form 11-134?
A: DSHS Form 11-134 can be used by individuals, family members, or professionals to refer someone who is deaf-blind for Level 4 Crp Services.
Q: What is the Checklist for Level 4 Crp Services?
A: The Checklist for Level 4 Crp Services is a set of criteria used to determine if an individual is eligible for Level 4 Crp Services in Washington.
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 11-134 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 11-134 Deaf-Blind Referral Criteria Checklist for Level 4 Crp Services - Washington
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