PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-619 Attachment L
for the current year.
DSHS Form 10-619 Attachment L Ccrss Background Record Review - Washington
What Is DSHS Form 10-619 Attachment L?
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 10-619?
A: DSHS Form 10-619 is a document used in Washington for the Background Record Review process.
Q: What is Attachment L Ccrss?
A: Attachment L Ccrss refers to a specific section or attachment within DSHS Form 10-619.
Q: What is the purpose of the Background Record Review?
A: The purpose of the Background Record Review is to assess the criminal history of individuals applying for certain positions or licenses in Washington.
Q: Who is the Background Record Review conducted by?
A: The Background Record Review is conducted by the Department of Social and Health Services (DSHS) in Washington.
Q: What information is included in the Background Record Review?
A: The Background Record Review includes information about an individual's criminal convictions, pending charges, and other relevant background information.
Q: Who needs to undergo a Background Record Review?
A: Individuals applying for certain positions or licenses in Washington, such as child care providers or medical professionals, may need to undergo a Background Record Review.
Q: How long does the Background Record Review process take?
A: The length of the Background Record Review process can vary, but it typically takes several weeks to complete.
Q: What happens if there are convictions or charges on my background record?
A: If there are convictions or charges on your background record, the DSHS will evaluate your suitability for the position or license you are applying for.
Q: Can I appeal the results of the Background Record Review?
A: Yes, you can appeal the results of the Background Record Review if you believe there has been an error or if you have new evidence to present. Contact the DSHS for more information on the appeals process.
Form Details:
- Released on October 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 10-619 Attachment L by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
