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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 15-379
for the current year.
DSHS Form 15-379 Developmental Disabilities Administration (Dda) Staff Add-On Request for Client Specific Need - Washington
What Is DSHS Form 15-379?
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 15-379?
A: DSHS Form 15-379 is a Developmental Disabilities Administration (DDA) Staff Add-On Request for Client Specific Need form.
Q: What is the purpose of DSHS Form 15-379?
A: The purpose of DSHS Form 15-379 is to request additional DDA staff to meet the specific needs of a client with developmental disabilities.
Q: Who can use DSHS Form 15-379?
A: The DSHS Form 15-379 can be used by individuals or their authorized representatives who are receiving services from the DDA.
Q: Is there a fee for submitting DSHS Form 15-379?
A: No, there is no fee for submitting DSHS Form 15-379.
Q: How long does it take to process DSHS Form 15-379?
A: The processing time for DSHS Form 15-379 varies and depends on various factors. It is recommended to contact the DDA for more information.
Q: Can I submit DSHS Form 15-379 by mail?
A: Yes, you can submit DSHS Form 15-379 by mail to the address provided on the form.
Q: What information is required on DSHS Form 15-379?
A: DSHS Form 15-379 requires information about the client, including their name, Medicaid ID, and the specific need for additional DDA staff.
Q: Who should I contact for assistance with DSHS Form 15-379?
A: For assistance with DSHS Form 15-379, you can contact the DDA or refer to the instructions provided with the form.
Form Details:
- Released on February 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 15-379 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
