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This version of the form is not currently in use and is provided for reference only. Download this version of
Instructions for DSHS Form 10-410
for the current year.
Instructions for DSHS Form 10-410 Adult Family Home License Application - Washington
This document contains official instructions for DSHS Form 10-410 , Adult Family Home License Application - a form released and collected by the Washington State Department of Social and Health Services. An up-to-date fillable DSHS Form 10-410 is available for download through this link.
FAQ
Q: What is DSHS Form 10-410?
A: DSHS Form 10-410 is the Adult Family Home License Application form in Washington.
Q: Who needs to fill out DSHS Form 10-410?
A: Anyone applying for an Adult Family Home License in Washington needs to fill out DSHS Form 10-410.
Q: What information do I need to provide on DSHS Form 10-410?
A: You will need to provide information about the applicant(s), the physical facility, the services to be provided, and financial information on DSHS Form 10-410.
Instruction Details:
- This 5-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Washington State Department of Social and Health Services.
Download Instructions for DSHS Form 10-410 Adult Family Home License Application - Washington
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