PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 17-226
for the current year.
DSHS Form 17-226 Aaa Dshs / Hca Systems Access Request - Washington
What Is DSHS Form 17-226?
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 DSHS Form 17-226?
A: DSHS Form 17-226 is a form used to request access to DSHS/HCA systems in Washington.
Q: Who can use DSHS Form 17-226?
A: This form can be used by individuals who need access to DSHS/HCA systems in Washington.
Q: What is the purpose of DSHS Form 17-226?
A: The purpose of this form is to request access to DSHS/HCA systems for authorized purposes and functions.
Q: Is DSHS Form 17-226 specific to Washington state?
A: Yes, DSHS Form 17-226 is specific to requesting access to DSHS/HCA systems in Washington.
Form Details:
- Released on July 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 fillable version of DSHS Form 17-226 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 17-226 Aaa Dshs / Hca Systems Access Request - Washington
1
2
