DSHS Form 09-995 Companion Home Certification Evaluation - Washington

What Is DSHS Form 09-995?

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 09-995?
A: DSHS Form 09-995 is a certification evaluation form for Companion Home providers in Washington state.

Q: Who needs to fill out DSHS Form 09-995?
A: Companion Home providers in Washington state need to fill out DSHS Form 09-995.

Q: What is a Companion Home provider?
A: A Companion Home provider is a person or organization that offers support and care services to individuals with developmental disabilities in a family home setting.

Q: What is the purpose of the DSHS Form 09-995?
A: The purpose of DSHS Form 09-995 is to evaluate and certify Companion Home providers in Washington state.

Q: Do I need to renew the DSHS Form 09-995?
A: Yes, the DSHS Form 09-995 needs to be renewed periodically. The exact renewal period may vary, so it is best to check with DSHS for the specific requirements.

Q: What documents do I need to submit with the DSHS Form 09-995?
A: The specific documents required may vary, but generally you will need to submit proof of identity, background check results, and other relevant supporting documents.

Q: How long does it take to get certified as a Companion Home provider?
A: The time to get certified as a Companion Home provider can vary. It may take several weeks or even months, depending on the evaluation process and any additional requirements.

Q: Can I appeal if my Companion Home certification is denied?
A: Yes, if your Companion Home certification is denied, you have the right to appeal the decision. Information regarding the appeal process should be provided with the denial notice.