DSHS Form 09-995 Companion Home Certification Evaluation - Washington

What Is DSHS Form 09-995?

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?
A: DSHS stands for the Department of Social and Health Services. It is the state agency in Washington responsible for providing social and health services to individuals and families.

Q: What is Form 09-995?
A: Form 09-995 refers to the Companion Home Certification Evaluation form. It is used in Washington to evaluate and certify companion homes for individuals who need assistance with daily living activities.

Q: What is a companion home?
A: A companion home is a residential setting where individuals with disabilities or who are aging can live and receive assistance with activities of daily living from a caregiver.

Q: Who is eligible for a companion home certification?
A: Individuals who are eligible for a companion home certification in Washington are those who require assistance with activities of daily living and choose to live in a companion home.

Q: What is the purpose of the evaluation?
A: The purpose of the evaluation is to assess the suitability of a companion home and caregiver to ensure the safety and well-being of the individual who will be living in the home.