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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 14-436
for the current year.
DSHS Form 14-436 Statement of Adult Acting in Loco Parentis (As a Parent) - Washington
What Is DSHS Form 14-436?
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 14-436?
A: DSHS Form 14-436 is a document titled Statement of Adult Acting in Loco Parentis (As a Parent).
Q: What is the purpose of DSHS Form 14-436?
A: The purpose of DSHS Form 14-436 is to declare that an individual is acting as a parent in place of a child's biological or legal parent.
Q: Who can fill out DSHS Form 14-436?
A: Any individual who is acting as a parent in place of a child's biological or legal parent can fill out DSHS Form 14-436.
Q: Do I need to file DSHS Form 14-436 with any specific agency?
A: Yes, you need to file DSHS Form 14-436 with the Department of Social and Health Services (DSHS) in Washington.
Q: Is DSHS Form 14-436 only applicable in Washington?
A: Yes, DSHS Form 14-436 is specific to Washington and is not applicable in other states or jurisdictions.
Form Details:
- Released on February 1, 2021;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Spanish;
- 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 14-436 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 14-436 Statement of Adult Acting in Loco Parentis (As a Parent) - Washington
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