DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington

DSHS Form 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington

What Is DSHS Form 11-055?

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 Form 11-055?
A: Form 11-055 is the Acknowledgement of My Responsibilities as the Employer of My Individual Providers form in Washington.

Q: What is the purpose of Form 11-055?
A: The purpose of Form 11-055 is to acknowledge the responsibilities of being the employer of individual providers in Washington.

Q: Who needs to fill out Form 11-055?
A: Individuals who are employers of individual providers in Washington need to fill out Form 11-055.

Q: What are the responsibilities of being the employer of individual providers?
A: Some of the responsibilities include ensuring compliance with employment laws, providing employee benefits, and maintaining accurate records.

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Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Hmong;
  • 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 11-055 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 11-055 Acknowledgement of My Responsibilities as the Employer of My Individual Providers - Washington

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