This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-012 for the current year.
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.
Q: What is DSHS Form 14-012 Consent?
A: DSHS Form 14-012 Consent is a form used by the Washington State Department of Social and Health Services to obtain consent from individuals who speak Haitian Creole.
Q: Who uses DSHS Form 14-012 Consent?
A: The Washington State Department of Social and Health Services uses DSHS Form 14-012 Consent.
Q: What is the purpose of DSHS Form 14-012 Consent?
A: The purpose of DSHS Form 14-012 Consent is to obtain consent from individuals who speak Haitian Creole for various purposes related to social and health services in Washington State.
Form Details:
Download a printable version of DSHS Form 14-012 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.