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DSHS Form 10-362A Attachment D Alf Resident Characteristic Roster and Sample Selection Addendum - Washington
What Is DSHS Form 10-362A Attachment D?
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 10-362A?
A: DSHS Form 10-362A is a document used in Washington for the purpose of gathering information about ALF (Assisted Living Facility) residents.
Q: What is the purpose of Attachment D?
A: The purpose of Attachment D is to provide a roster and sample selection addendum to be used with DSHS Form 10-362A.
Q: What does ALF stand for?
A: ALF stands for Assisted Living Facility.
Q: Who is required to complete DSHS Form 10-362A?
A: ALF operators in Washington are required to complete DSHS Form 10-362A.
Q: What information does DSHS Form 10-362A gather?
A: DSHS Form 10-362A gathers information about the characteristics of ALF residents, such as demographic information and medical conditions.
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 10-362A Attachment D 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 10-362A Attachment D Alf Resident Characteristic Roster and Sample Selection Addendum - Washington
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