PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-639
for the current year.
DSHS Form 10-639 Overnight Planned Respite Services (Oprs) Certification Evaluation - Washington
What Is DSHS Form 10-639?
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 10-639?
A: DSHS Form 10-639 is a certification evaluation form for Overnight Planned Respite Services (OPRS) in Washington.
Q: What is Overnight Planned Respite Services (OPRS)?
A: Overnight Planned Respite Services (OPRS) provide short-term relief to caregivers of individuals with disabilities or special needs in Washington.
Q: Who can apply for Overnight Planned Respite Services (OPRS)?
A: Caregivers of individuals with disabilities or special needs in Washington can apply for Overnight Planned Respite Services (OPRS).
Q: What is the purpose of DSHS Form 10-639?
A: The purpose of DSHS Form 10-639 is to certify the eligibility of caregivers for Overnight Planned Respite Services (OPRS) in Washington.
Form Details:
- Released on February 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 10-639 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 10-639 Overnight Planned Respite Services (Oprs) Certification Evaluation - Washington
1
2
3
4
5
6
7
8
9
10
11
12
13
