This is a legal form that was released by the Connecticut State Department of Social Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form W-265?
A: Form W-265 is a report used in Connecticut to disclose the admission or discharge of residents in a rated housing facility or residential care home.
Q: Who needs to file Form W-265?
A: Owners or operators of rated housing facilities or residential care homes in Connecticut need to file Form W-265.
Q: When should Form W-265 be filed?
A: Form W-265 should be filed within 30 days of the admission or discharge of a resident in a rated housing facility or residential care home.
Q: What information is required on Form W-265?
A: Form W-265 requires information such as the resident's name, address, social security number, admission or discharge date, and other relevant details.
Q: Are there any penalties for not filing Form W-265?
A: Failure to file Form W-265 may result in penalties or fines imposed by the Connecticut Department of Revenue Services.
Form Details:
Download a fillable version of Form W-265 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Social Services.