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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 14-012
for the current year.
DSHS Form 14-012 Consent - Washington (Mien)
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 Mien. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 14-012?
A: DSHS Form 14-012 is a consent form used in Washington state.
Q: What is the purpose of DSHS Form 14-012?
A: The purpose of DSHS Form 14-012 is to obtain consent from an individual for the release of their personal information.
Q: Who uses DSHS Form 14-012?
A: DSHS Form 14-012 is used by the Department of Social and Health Services (DSHS) in Washington state.
Q: Can anyone complete DSHS Form 14-012?
A: No, only the individual whose information is being released or their legal guardian can complete DSHS Form 14-012.
Q: Is DSHS Form 14-012 specific to any language?
A: The form is available in multiple languages, including Mien.
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 14-012 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 14-012 Consent - Washington (Mien)
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