DSHS Form 11-055 COVID Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Temporary Covid Pandemic Version - Washington (Haitian Creole)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 11-055?
A: DSHS Form 11-055 is a form used in Washington to acknowledge the responsibilities of employers of individual providers during the COVID-19 pandemic.

Q: Who needs to fill out DSHS Form 11-055?
A: Employers of individual providers in Washington need to fill out DSHS Form 11-055.

Q: What is the purpose of DSHS Form 11-055?
A: The purpose of DSHS Form 11-055 is to acknowledge the responsibilities of employers of individual providers during the COVID-19 pandemic.

Q: What are the responsibilities of employers mentioned in DSHS Form 11-055?
A: DSHS Form 11-055 outlines the responsibilities of employers to ensure a safe and healthy work environment, implement infection control practices, provide necessary supplies, and communicate with their individual providers.

Q: Is DSHS Form 11-055 specific to the Haitian Creole language?
A: Yes, DSHS Form 11-055 mentioned here is translated into Haitian Creole language.

Q: Is DSHS Form 11-055 only applicable during the COVID-19 pandemic?
A: Yes, DSHS Form 11-055 is the Temporary Covid Pandemic Version and is specifically designed for the COVID-19 pandemic in Washington.