DSHS Form 17-041 Request for Dshs Records - Washington (Chinese)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 17-041 for the current year.

DSHS Form 17-041 Request for Dshs Records - Washington (Chinese)

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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS?
A: DSHS stands for the Department of Social and Health Services.

Q: What is Form 17-041?
A: Form 17-041 is a request form for DSHS records in Washington.

Q: What records can be requested with Form 17-041?
A: Form 17-041 can be used to request DSHS records.

Q: Can the form be filled out in Chinese?
A: Yes, the form is available in Chinese.

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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 17-041 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 17-041 Request for Dshs Records - Washington (Chinese)

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  • DSHS Form 17-041 Request for Dshs Records - Washington (Chinese), Page 1
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