DSHS Form 06-176 Adult Living Facility (Alf) Change in Licensed Resident Bed Capacity or Use of Rooms - Washington

What Is DSHS Form 06-176?

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 06-176?
A: DSHS Form 06-176 is a form used for Adult Living Facility (Alf) Change in Licensed Resident Bed Capacity or Use of Rooms in Washington.

Q: What is an Adult Living Facility (ALF)?
A: An Adult Living Facility (ALF) is a residential living arrangement for seniors or individuals with disabilities who require assistance with daily activities.

Q: What is the purpose of DSHS Form 06-176?
A: The purpose of DSHS Form 06-176 is to request a change in the licensed resident bed capacity or use of rooms in an Adult Living Facility (ALF) in Washington.

Q: Who needs to fill out DSHS Form 06-176?
A: Owners or operators of an Adult Living Facility (ALF) in Washington need to fill out DSHS Form 06-176.

Q: What changes can be requested using this form?
A: This form can be used to request changes in the licensed resident bed capacity or use of rooms in an Adult Living Facility (ALF) in Washington.

Q: Are there any fees associated with submitting DSHS Form 06-176?
A: Yes, there may be fees associated with submitting DSHS Form 06-176. The fee schedule is provided on the form itself.

Q: Is DSHS Form 06-176 specific to Washington only?
A: Yes, DSHS Form 06-176 is specific to Adult Living Facilities (ALFs) in the state of Washington.