This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 06-168 for the current year.
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.
Q: What is DSHS Form 06-168?
A: DSHS Form 06-168 is a form used for requesting an increase in licensed bed capacity for an Adult Family Home (AFH) in Washington.
Q: What is an Adult Family Home (AFH)?
A: An Adult Family Home (AFH) is a residential care facility in Washington that provides housing, meals, and personalized care services to elderly and disabled adults.
Q: What does the DSHS Form 06-168 for?
A: The DSHS Form 06-168 is used to request an increase in licensed bed capacity for an Adult Family Home (AFH) in Washington.
Q: Who can use the DSHS Form 06-168?
A: The DSHS Form 06-168 can be used by the owner or operator of an Adult Family Home (AFH) in Washington who wishes to increase their licensed bed capacity.
Q: What information is required on the DSHS Form 06-168?
A: The DSHS Form 06-168 requires information such as the current licensed bed capacity, the proposed increase in bed capacity, and the reasons for the requested increase.
Q: Is there a fee for submitting the DSHS Form 06-168?
A: Yes, there is a fee associated with submitting the DSHS Form 06-168. The fee amount may vary and is subject to change.
Q: How long does it take to process the DSHS Form 06-168?
A: The processing time for the DSHS Form 06-168 can vary, but it generally takes several weeks. It is recommended to submit the form well in advance of the desired effective date for the bed capacity increase.
Q: Are there any other requirements or approvals needed for increasing the licensed bed capacity of an Adult Family Home?
A: Yes, in addition to submitting the DSHS Form 06-168, there may be other requirements and approvals needed, such as an inspection by the Residential Care Services division of DSHS.
Q: Who should I contact for more information or assistance with the DSHS Form 06-168?
A: For more information or assistance with the DSHS Form 06-168, you can contact the Residential Care Services division of the Washington State Department of Social and Health Services (DSHS).
Form Details:
Download a printable version of DSHS Form 06-168 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.