DSHS Form 10-604 Supported Living Information Change - Washington

DSHS Form 10-604 Supported Living Information Change - Washington

What Is DSHS Form 10-604?

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 10-604?
A: DSHS Form 10-604 is a form used for making changes to supported living information.

Q: What is Supported Living?
A: Supported Living is a program that helps individuals with developmental disabilities live independently in the community.

Q: Who uses DSHS Form 10-604?
A: Individuals receiving supported living services and their providers use DSHS Form 10-604.

Q: What changes can be made using DSHS Form 10-604?
A: You can use this form to make changes to your address, phone number, emergency contacts, and other personal information.

Q: Do I need to fill out DSHS Form 10-604 every time there is a change?
A: Yes, you need to fill out the form every time there is a change in your supported living information.

Q: What should I do with the completed DSHS Form 10-604?
A: You should submit the completed form to your supported living provider or the DSHS office.

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Form Details:

  • Released on January 1, 2023;
  • 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 10-604 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 10-604 Supported Living Information Change - Washington

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