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DSHS Form 11-163 Exhibit B Applicant Certification and Assurances - Washington
What Is DSHS Form 11-163 Exhibit B?
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 11-163 Exhibit B?
A: DSHS Form 11-163 Exhibit B is a certification and assurance form for applicants in Washington.
Q: What is the purpose of DSHS Form 11-163 Exhibit B?
A: The purpose of DSHS Form 11-163 Exhibit B is for applicants to certify and provide assurances related to their application.
Q: Who needs to fill out DSHS Form 11-163 Exhibit B?
A: Applicants in Washington need to fill out DSHS Form 11-163 Exhibit B.
Q: What information does DSHS Form 11-163 Exhibit B require?
A: DSHS Form 11-163 Exhibit B requires applicants to provide certification and assurances related to their application.
Q: Is DSHS Form 11-163 Exhibit B mandatory?
A: Yes, DSHS Form 11-163 Exhibit B is mandatory for applicants in Washington.
Form Details:
- Released on March 1, 2022;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- 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 11-163 Exhibit B by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
