This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 22-171?
A: DSHS Form 22-171 is a Discrimination Complaint form issued by the Department of Social and Health Services in Washington.
Q: What is the purpose of DSHS Form 22-171?
A: The purpose of DSHS Form 22-171 is to lodge a complaint regarding discrimination in Washington.
Q: Who can file a Discrimination Complaint using DSHS Form 22-171?
A: Any individual who believes they have experienced discrimination in a Department of Social and Health Services program or activity can file a Discrimination Complaint using DSHS Form 22-171.
Q: Is DSHS Form 22-171 specific to a particular language?
A: Yes, the form mentioned is specifically designed for complaint filing in the Lao language.
Q: Is there a deadline for filing a Discrimination Complaint using DSHS Form 22-171?
A: Yes, there is a deadline for filing a Discrimination Complaint using DSHS Form 22-171. It must be submitted within 180 days of the alleged discriminatory action.
Form Details:
Download a fillable version of DSHS Form 22-171 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.