This is a legal form that was released by the Oregon Department of Human Services - a government authority operating within Oregon.
The document is provided in Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DHS0170 form?
A: The DHS0170 form is a document used for lodging customer service, privacy complaints, or reports of discrimination.
Q: Who can use the DHS0170 form?
A: Any individual who has a customer service, privacy complaint, or a report of discrimination related to the agency can use the DHS0170 form.
Q: What information do I need to provide on the DHS0170 form?
A: You will need to provide personal details such as your name, contact information, and a detailed description of your complaint or report.
Q: Is the DHS0170 form available in languages other than English?
A: Yes, the DHS0170 form is available in multiple languages, including Russian.
Q: Can I submit the DHS0170 form anonymously?
A: Yes, you have the option to submit the DHS0170 form anonymously if you prefer not to disclose your personal information.
Q: How long does it take to receive a response to a complaint or report submitted using the DHS0170 form?
A: The response time may vary, but the agency is committed to addressing complaints and reports in a timely manner.
Q: What should I do if I need assistance with filling out the DHS0170 form?
A: If you need assistance with filling out the form, you can contact the customer service or support team of the US Department of Homeland Security.
Form Details:
Download a printable version of Form DHS0170 by clicking the link below or browse more documents and templates provided by the Oregon Department of Human Services.