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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 10-646
for the current year.
DSHS Form 10-646 Residential Certification Evaluation Legal Representative Interview - Washington
What Is DSHS Form 10-646?
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 the DSHS Form 10-646?
A: The DSHS Form 10-646 is a Residential Certification Evaluation Legal Representative Interview form.
Q: What is the purpose of the DSHS Form 10-646?
A: The purpose of the DSHS Form 10-646 is to conduct an interview with a legal representative for a residential certification evaluation in Washington.
Q: Who needs to fill out the DSHS Form 10-646?
A: The legal representative of an individual being evaluated for residential certification in Washington needs to fill out the DSHS Form 10-646.
Q: What information is required in the DSHS Form 10-646?
A: The DSHS Form 10-646 requires information about the legal representative and their relationship to the individual being evaluated.
Form Details:
- Released on March 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 10-646 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
