This version of the form is not currently in use and is provided for reference only. Download this version of Form DOC13-109 for the current year.
This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DOC13-109?
A: Form DOC13-109 is a Seriously Ill Notification form in the state of Washington.
Q: Who needs to fill out Form DOC13-109?
A: The Seriously Ill Notification form needs to be filled out by a seriously ill individual or their representative.
Q: What is the purpose of Form DOC13-109?
A: The purpose of Form DOC13-109 is to notify the Department of Health in Washington of an individual's serious illness.
Q: When should Form DOC13-109 be filed?
A: Form DOC13-109 should be filed as soon as possible after a serious illness is diagnosed.
Q: Is there a fee to file Form DOC13-109?
A: No, there is no fee to file Form DOC13-109.
Q: What information is required on Form DOC13-109?
A: Form DOC13-109 requires information such as the individual's name, address, and a description of the serious illness.
Q: What happens after Form DOC13-109 is filed?
A: Once Form DOC13-109 is filed, the Department of Health will be notified of the serious illness and may provide appropriate resources and support.
Form Details:
Download a printable version of Form DOC13-109 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.