This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 27-043 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. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 27-043?
A: DSHS Form 27-043 is a New Contractor Intake form used in Washington.
Q: Who needs to complete DSHS Form 27-043?
A: This form needs to be completed by new contractors working with the Washington State Department of Social and Health Services (DSHS).
Q: What is the purpose of DSHS Form 27-043?
A: The purpose of this form is to gather information about the new contractor and their services, as well as initiate the contract registration and monitoring process with DSHS.
Q: What information is required on DSHS Form 27-043?
A: The form requires information such as the contractor's name, address, contact information, services offered, and proof of insurance.
Q: Are there any fees associated with submitting DSHS Form 27-043?
A: There are no fees associated with submitting this form.
Q: How long does it take for the DSHS contractor registration process to be completed?
A: The time required to complete the registration process varies, but it typically takes several weeks to be finalized.
Q: Who can I contact for assistance with DSHS Form 27-043?
A: For assistance with this form, you can contact the Washington State Department of Social and Health Services directly.
Form Details:
Download a printable version of DSHS Form 27-043 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.