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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 17-226
for the current year.
DSHS Form 17-226 Aaa Dshs / Hca Systems Access Request - Washington
What Is DSHS Form 17-226?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
FAQ
Q: What is DSHS Form 17-226?
A: DSHS Form 17-226 is a form used to request systems access for the Washington State Department of Social and Health Services (DSHS) and Health Care Authority (HCA).
Q: Who can submit DSHS Form 17-226?
A: Only authorized personnel can submit DSHS Form 17-226.
Q: How do I request systems access using DSHS Form 17-226?
A: To request systems access, fill out the required information on the form and submit it according to the instructions provided.
Q: What is the purpose of requesting systems access?
A: Requesting systems access allows authorized personnel to access and use the systems and resources of the Washington State Department of Social and Health Services (DSHS) and Health Care Authority (HCA) for their designated roles and responsibilities.
Form Details:
- Released on July 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 fillable version of DSHS Form 17-226 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 17-226 Aaa Dshs / Hca Systems Access Request - Washington
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