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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 10-410
for the current year.
DSHS Form 10-410 Adult Family Home License Application - Washington
What Is DSHS Form 10-410?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
FAQ
Q: What is the DSHS Form 10-410?
A: The DSHS Form 10-410 is the Adult Family Home License Application in Washington.
Q: What is an Adult Family Home License?
A: An Adult Family Home License is a license issued by DSHS (Department of Social and Health Services) in Washington that allows individuals to operate a home providing care and services for aging or disabled adults.
Q: Who needs to fill out the DSHS Form 10-410?
A: Anyone who wants to apply for an Adult Family Home License in Washington needs to fill out the DSHS Form 10-410.
Q: What information is required on the DSHS Form 10-410?
A: The DSHS Form 10-410 requires information about the applicant, the home's physical location, the type of services to be provided, background checks, and more. It is important to fill out all the required information accurately.
Q: Are there any fees associated with the Adult Family Home License Application?
A: Yes, there are fees associated with the Adult Family Home License Application. The fees vary based on the number of residents and the type of services provided.
Q: How long does it take to process the Adult Family Home License Application?
A: The processing time for the Adult Family Home License Application can vary, but typically it takes several months. It is important to submit the application well in advance of when you plan to start operating.
Q: What happens after the Adult Family Home License Application is approved?
A: After the Adult Family Home License Application is approved, you will receive a license from DSHS. You will then be able to open and operate an Adult Family Home in Washington.
Q: What should I do if my Adult Family Home License Application is denied?
A: If your Adult Family Home License Application is denied, you have the right to appeal the decision. You should carefully review the denial letter and follow the instructions provided.
Q: Can I operate an Adult Family Home without a license?
A: No, it is illegal to operate an Adult Family Home in Washington without a license. You must obtain a license from DSHS before providing care and services to aging or disabled adults.
Form Details:
- Released on April 1, 2020;
- 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;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 10-410 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 10-410 Adult Family Home License Application - Washington
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