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  • Wa Dshs 14-260 2012

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INTAKE TYPE CHILDREN S ADMINISTRATION CPS Risk Only Non CPS Intake Report A. PARENT(S) IDENTIFICATION MOTHER S NAME (LAST, FIRST, M.I.) RACE/TRIBAL STATUS ADDRESS DATE OF BIRTH CITY TELEPHONE NUMBER.

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How to fill out the WA DSHS 14-260 online

Filling out the WA DSHS 14-260 form online is crucial for ensuring the welfare of children and families in need. This comprehensive guide will walk you through each section of the form, making the process user-friendly and efficient.

Follow the steps to complete the WA DSHS 14-260 online

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Begin by entering the identification information for the parent or guardian. Fill in the name, race/tribal status, address, date of birth, and contact information for both the mother and father.
  3. Proceed to list the names of the children involved. Indicate their date of birth, sex, school or daycare, race/tribal status, and whether they are victims.
  4. In the 'Referrer Identification' section, provide the details of the person referring the case, including their name, relationship to the family, and contact information.
  5. Complete the 'Alleged Perpetrator Identification' if necessary, noting the alleged perpetrator's contact information.
  6. Describe the concerns or allegations in the 'Narrative' section. Be specific about behaviors and conditions, including where and when incidents occurred.
  7. Fill out sections regarding risk and protective factors, including any mental health services received by children or caregivers in the home.
  8. Check any relevant risks such as domestic violence, additional risk factors, and provide directions to the house.
  9. Indicate if the case involves Indian Child Welfare (ICW) considerations and provide details as necessary.
  10. For allegations, check all applicable boxes and provide specific details for the types of allegations being reported.
  11. If relevant, complete sections regarding services requested and sufficiency screens for CPS intakes.
  12. Finally, review all entries for accuracy, then save changes, download, print, or share the form as needed.

Start filling out your WA DSHS 14-260 online today to ensure the safety and well-being of those in need.

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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.

Jilma Meneses is Secretary of the Department of Social and Health Services, Washington's largest state agency with a biennial budget of $18 billion, over 17,000 employees, and 23,000 contracted service providers. DSHS serves between 2 and 3 million Washington residents annually. Her appointment by Gov.

Our Mission and Values Values: Respect, Person-Centered Planning, Partnerships, Community Participation. Guiding Values: Inclusion, Status and Contribution, Relationships Power and Choice, Health and Safety, Competence.

Our highest call volume times are between the hours of 11 a.m. and 3 p.m., Mondays and on the first and last three work days of the month. If you call during these times, you may experience delays in speaking with an agent.

We value honesty and integrity, open communication, pursuit of excellence, diversity and inclusion and commitment to service.

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

From seamstresses to social workers, we are over 15,000 staff strong. For each of these staff members, it is our mission to make DSHS their employer of choice.

As a Department we are tied together by a single mission: to transform lives. Each administration within DSHS has a refined focus on this mission.

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