This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-012 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.
The document is provided in Trukese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 14-012?
A: Form 14-012 is a consent form used by the Department of Social and Health Services (DSHS) in Washington.
Q: Who should use Form 14-012?
A: Form 14-012 is used by individuals who speak Trukese and need to provide consent for certain activities or services.
Q: What does Form 14-012 consent to?
A: Form 14-012 is used to consent to specific activities or services provided by DSHS, such as medical treatments or access to personal information.
Q: Is Form 14-012 only available in Trukese?
A: Yes, Form 14-012 is specifically designed for individuals who speak Trukese. It may not be available in other languages.
Q: Do I need to fill out Form 14-012 if I don't speak Trukese?
A: No, Form 14-012 is only required if you speak Trukese and need to provide consent for DSHS activities or services.
Q: Can someone help me fill out Form 14-012?
A: Yes, you can ask for assistance from DSHS staff or a qualified interpreter to help you fill out Form 14-012 if needed.
Q: Are there any fees associated with Form 14-012?
A: No, there are no fees associated with Form 14-012. It is a free form provided by DSHS.
Form Details:
Download a printable version of DSHS Form 14-012 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.