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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 11-097
for the current year.
DSHS Form 11-097 Service Delivery Outcome Report - Washington
What Is DSHS Form 11-097?
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 11-097?
A: DSHS Form 11-097 is the Service DeliveryOutcome Report used in Washington.
Q: What is the purpose of DSHS Form 11-097?
A: The purpose of DSHS Form 11-097 is to track and report service delivery outcomes in Washington.
Q: Who uses DSHS Form 11-097?
A: DSHS Form 11-097 is used by the Washington State Department of Social and Health Services (DSHS).
Q: What is included in the Service Delivery Outcome Report?
A: The Service Delivery Outcome Report includes information about the type of services provided, the number of clients served, and the outcomes achieved.
Q: Is DSHS Form 11-097 mandatory?
A: Yes, DSHS Form 11-097 is mandatory for DSHS service providers in Washington.
Q: Are there any deadlines for submitting DSHS Form 11-097?
A: Yes, DSHS Form 11-097 must be submitted according to the specified reporting periods and deadlines set by DSHS.
Q: What happens if DSHS Form 11-097 is not submitted?
A: Failure to submit DSHS Form 11-097 may result in non-compliance and potential consequences for DSHS service providers.
Form Details:
- Released on October 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 11-097 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
