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  • Wa Dshs 21-053 2013

Get Wa Dshs 21-053 2013-2025

AGING AND LONG-TERM SUPPORT ADMINISTRATION (ALTSA) Important Telephone Numbers and Emergency Response Information INSTRUCTIONS: Provider / Resident Manager completes and posts near telephone. Provider.

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How to fill out the WA DSHS 21-053 online

The WA DSHS 21-053 form is essential for ensuring important emergency contact information is readily available in caregiving settings. This guide provides step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the WA DSHS 21-053 form online.

  1. Press the ‘Get Form’ button to access the WA DSHS 21-053 online, allowing you to fill out the form in a suitable viewer.
  2. Enter the provider or resident manager’s name in the designated field to identify the responsible person for the facility.
  3. Fill in the address by providing the street name, city, and zip code to ensure easy navigation for emergency responders.
  4. Provide brief directions to your home to assist emergency services in reaching your location quickly and efficiently.
  5. Indicate the location of first aid supplies and manual to ensure that anyone needing assistance can find them without delay.
  6. List important telephone numbers, including the fire department, police department, public health department, local adult protective services office, local adult family home licensor, and long-term care ombudsman.
  7. Include the case manager's name and local ombudsman contact details to facilitate communication with relevant agencies.
  8. Prepare cards with basic information for each resident, including the name, birth date, social security number, insurance or Medicaid coverage, doctor’s name, and the name of the next-of-kin or responsible person, as this will be useful for emergency crews.
  9. Review all entered information for accuracy. Ensure that all required fields are completed before proceeding.
  10. Once finished, save your changes, and choose to download, print, or share the completed form as necessary to maintain accessibility and compliance.

Complete your forms online to ensure efficient emergency management in caregiving settings.

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Related content

21-21-053
WSR 21-21-053. PROPOSED RULES. DEPARTMENT OF. SOCIAL ... (DSHS) Headquarters, 1115...
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Department Of Health Services F 45006 Form 2018 Mv11 Form 2016 Wi Form 9400 543 2005 Dcf F Cfs0787 2000

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Contact support

For food stamp renewal in Washington State, you can contact the DSHS helpline as provided in the WA DSHS 21-053 form. This helpline assists individuals with renewing their food assistance benefits. Ensure you have your identifying information ready for a smooth process. The representatives are equipped to guide you through the necessary steps.

To renew your EBT benefits, you can reach out to the DSHS hotline listed on the WA DSHS 21-053 form. This number is specifically designated for inquiries related to EBT card renewal and assistance. Make sure to call during business hours to ensure prompt service. Your situation may require providing specific information about your current benefits.

If you need to speak to someone regarding your EBT card in Washington State, you can contact the DSHS customer service line. The representatives are available to assist you with various inquiries related to your EBT benefits. Dialing the relevant number from the WA DSHS 21-053 form will connect you to a knowledgeable agent. Be ready with your details to expedite the conversation.

To renew your EBT card in Washington state, you must contact the Department of Social and Health Services (DSHS). Using the WA DSHS 21-053 form, you can complete your renewal process online or through mail. Ensure you provide the required information about your current financial situation. For assistance, you can always visit the official DSHS website.

Filing a complaint with DSHS Washington State involves contacting them directly through their complaint hotline or submitting a complaint form available on their website. It's important to include specific information and documentation to support your claims. Additionally, you can find useful templates and tips on uslegalforms to help you articulate your complaint effectively in relation to WA DSHS 21-053.

The Washington State Ombudsman provides assistance to individuals who seek help with issues related to state agencies, including DSHS. Their role is to investigate complaints and recommend resolutions to ensure fairness in public services. Understanding the Ombudsman's role can be beneficial when navigating the processes under WA DSHS 21-053.

To file a consumer complaint in Washington state, you can contact the Washington State Attorney General's Office or visit their website to submit your complaint online. It is important to provide thorough details about your issue to ensure a proper response. Using resources like uslegalforms may help you craft your complaint in alignment with WA DSHS 21-053 requirements.

To file a complaint against DSHS Washington State, you should first reach out to their customer service with your concerns. If you feel your issue is not resolved satisfactorily, you can escalate it by writing a formal complaint. For structured support, uslegalforms offers templates that may assist you in articulating your complaint effectively regarding WA DSHS 21-053.

To apply for medical assistance and food stamps in Washington state, visit your local DSHS office or use the online application system. The process is designed to be user-friendly, ensuring that you can provide all necessary information with ease. For guidance, exploring uslegalforms can help you find the right forms and tips for applying under WA DSHS 21-053.

Income limits for DSHS programs in Washington State depend on the specific program and family size. Regularly reviewing the guidelines on the WA DSHS 21-053 website will provide accurate figures for eligibility. It's important to assess your financial situation to understand if you qualify for various benefits. For personal assistance, consider reaching out to DSHS directly.

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© 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