We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Communication Form - Dshs - Dshs Wa

Get Communication Form - Dshs - Dshs Wa

BIRTH GENDER HCBS CORE WAIVER CLIENT RESIDES IN THE FOLLOWING SETTING (PLEASE CHECK ONE) Male Yes No ACES CLIENT ID ETHNICITY SOCIAL SECURITY NUMBER Female Foster Home Staffed Residential Group Care Facility DATE ENTERED INTO VOLUNTARY PLACEMENT DATE APPROVED FOR WAIVER Foster Parent s Information LAST NAME TELEPHONE NUMBER (INCLUDE AREA CODE) FIRST NAME RESIDENTIAL ADDRESS STATE CITY ZIP CODE WA MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE WA Staffed Residentia.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Communication Form - DSHS - Dshs Wa online

This guide provides a clear and supportive approach to filling out the Communication Form for the Developmental Disabilities Administration. Whether you are a caregiver, family member, or support professional, the following instructions will help ensure that you accurately complete the form online.

Follow the steps to successfully complete the Communication Form online.

  1. Press the ‘Get Form’ button to access the Communication Form. This action will open the form for you in a suitable editor, allowing you to start filling it out.
  2. Begin by entering the child’s information, including their last name, first name, middle initial, date of birth, and gender. Be sure to clear any required fields and provide the client’s HCBS Core Waiver status.
  3. Indicate the client’s living arrangement by checking the appropriate option: Foster Home, Staffed Residential, or Group Care Facility. Also, enter the ACES client ID, ethnicity, and social security number.
  4. Input the date the client entered into voluntary placement and the date approved for waiver. Ensure accuracy while providing this information.
  5. Next, provide the foster parent’s information. Fill in the last name, first name, telephone number (with area code), residential address, state, city, and zip code. If the mailing address differs, complete that section accordingly.
  6. For staffed residential or group care facility information, include the telephone number, residential agency, and both the residential and mailing addresses, following the same format as before.
  7. Complete the DDA VPS Social Worker’s information by entering their name, telephone number, and checking applicable requirements such as updated client address or annual assessments. If applicable, make sure to note other information in the comment box.
  8. Fill in the FCMT social worker's details, including their name, telephone number, and fax number.
  9. After completing all sections of the form, review your entries for accuracy. Once confirmed, save your changes and consider downloading or printing the form for your records or further sharing.

Take the next step in your documentation process and complete your Communication Form online for efficient management.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Electronic DSHS Forms - Washington State...
We do our best to ensure the links below are accurate; but, if you find a link which does...
Learn more
A Resource Guide for Relatives as Parents...
on the back page of a publication in the format DSHS 22-###(X) and...
Learn more
In Home Services License Application ......
It is your responsibility to submit the correct required forms. ... The Area Agency on...
Learn more

Related links form

Dear Rutgers University Student, - Rutgers School Of Law-Newark - Law Newark Rutgers Sign-in Registration Form Sign-in Registration Form Summer 2012 Semester If You Do Not Check A Box, The Law School May Disclose The Information

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Mailing DSHS Community Services Division, P.O. Box 11699, Tacoma, WA 98411-6699. Faxing to 888-338-7410.

Please call us at 1-877-501-2233 for an interview or to see if your local office is open for in-person interviews. You may also visit https://.dshs.wa.gov/ and follow the link “Find a local service office” for updates on in-person services.

The following services can be completed in the office or online or by phone at 877-501-2233: Apply for benefits or submit documents.

How to Apply For Basic Food Benefits: You can apply for Basic Food Assistance online, by phone at 877-501-2233 or at your local Community Services Office.

You now have the ability to securely email verification documents directly to DSHS. The process will vary slightly depending on your email provider. The first time a DSHS employee sends you a secure email, it will provide instructions on the secure email attachment process.

Stop Work Questionnaire (form 14-438) This form is used when you stop work or self employment. The form should be signed by you but must be completed by your employer. Your employer can also complete this form On-Line.

Services are available at your local Community Services Office and by phone through the Customer Service Contact Center at 877-501-2233: TTY/TDD users dial 1-800-833-6384 for Washington Relay Service.

Or call the DSHS recruitment number at (360) 725-5810.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Communication Form - DSHS - Dshs Wa
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232