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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 17-041?
A: DSHS Form 17-041 is a form used to request DSHS records in Washington state.
Q: Who can use DSHS Form 17-041?
A: Anyone can use DSHS Form 17-041 to request DSHS records in Washington state.
Q: Do I need to fill out DSHS Form 17-041 in Russian?
A: No, this form is available in Russian for your convenience, but you can also fill it out in English.
Q: What information do I need to provide on DSHS Form 17-041?
A: You will need to provide your personal information, the specific DSHS records you are requesting, and any supporting documentation.
Q: How long does it take to process a request using DSHS Form 17-041?
A: Processing times vary, but you can expect to receive a response within a few weeks.
Q: Is there a fee for requesting DSHS records using Form 17-041?
A: There is no fee to request DSHS records using Form 17-041.
Q: Can I request records for someone else using DSHS Form 17-041?
A: Yes, you can request records for someone else, but you will need to have their consent or legal authority to do so.
Q: What should I do if I need help filling out DSHS Form 17-041?
A: If you need assistance, you can contact your local DSHS office or seek help from an interpreter if language is a barrier.
Form Details:
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.