PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 15-304
for the current year.
DSHS Form 15-304 Hcbs Waiver Enrollment Database Update - Washington (Haitian Creole)
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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 15-304?
A: DSHS Form 15-304 is a form used for enrollment database update in Washington (Haitian Creole).
Q: What is HCBS Waiver?
A: HCBS Waiver stands for Home and Community-Based Services Waiver, which provides long-term care services to individuals who prefer to receive care in their own home or community.
Q: What is the purpose of the enrollment database update?
A: The purpose of the enrollment database update is to keep the information in the database up-to-date, especially for participants enrolled in HCBS Waiver.
Q: Who needs to fill out DSHS Form 15-304?
A: Participants in HCBS Waiver in Washington (Haitian Creole) need to fill out DSHS Form 15-304 for the enrollment database update.
Form Details:
- Released on June 1, 2018;
- 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 15-304 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 15-304 Hcbs Waiver Enrollment Database Update - Washington (Haitian Creole)
1
2
