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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 17-226
for the current year.
DSHS Form 17-226 Aaa Dshs / Hca Systems Access Request - Washington
What Is DSHS Form 17-226?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
FAQ
Q: What is DSHS Form 17-226?
A: DSHS Form 17-226 is a form used to request access to DSHS/HCA systems in Washington.
Q: Who can use DSHS Form 17-226?
A: Any individual or organization who needs access to DSHS/HCA systems in Washington can use this form.
Q: How do I fill out DSHS Form 17-226?
A: You need to provide your personal information, specify the systems you need access to, and provide a justification for your request.
Q: How long does it take to process DSHS Form 17-226?
A: The processing time for DSHS Form 17-226 can vary, but it typically takes a few working days to receive a response.
Q: What if I have additional questions about DSHS Form 17-226?
A: If you have additional questions, you can contact the DSHS System Access Unit for assistance.
Form Details:
- Released on March 1, 2021;
- 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 fillable version of DSHS Form 17-226 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 17-226 Aaa Dshs / Hca Systems Access Request - Washington
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