
0 Nurse Aide Registry Inquiry Facility submitting Inquiry and Needing Inquiry Response FACILITY NAME CONTACT PERSON ADDRESS TELEPHONE NUMBER CITY FAX NUMBER STATE ZIP CODE For credential information, visit the Department of Health online at www.DOH.wa.gov or call DOH at 360-236-4700 To remain active on the OBRA Registry in Washington, nursing assistants who work in a nursing facility must never have a time period that exceeds two years when he or she does not work for pay as a caregiver. .
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the WA DSHS 16-193 online
Filling out the WA DSHS 16-193 is an important process for maintaining certification within the nurse aide registry. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently online.
Follow the steps to successfully complete the WA DSHS 16-193 form.
- Press the ‘Get Form’ button to access the WA DSHS 16-193 form and open it for editing.
- Begin by filling in the facility name, contact person, and full address, including city, state, and zip code. This information identifies the facility submitting the inquiry.
- Input the telephone number and fax number for the facility to ensure they can receive communication regarding the inquiry.
- Locate the section for the employee's information and enter the employee's name, including last, first, and middle initial as required.
- Provide the date of birth in the format MM/DD/YY to confirm the identity of the employee.
- Enter the social security number carefully to ensure that all official records can be matched accurately.
- Insert the NAC or NAR credential number, which is necessary for validation of the employee’s certification status.
- List the previous NAC caregiving employer, if applicable. If the employee lacks experience, write 'New Employee' in this field.
- Fill in the first and last dates employed at the previous caregiving job. This helps to establish experience and continuity of service.
- Review all entries for accuracy. Once confirmed, you can save changes, download the form, print a copy, or share it as needed.
Complete your WA DSHS 16-193 form online today to ensure your compliance and maintain your status in the nurse aide registry.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
DSHS 16-193 (REV. 01/2023). AGING AND LONG TERM SUPPORT ADMINISTRATION. NURSING ASSISTANT...
The findings provide empirical support for the link between parents' willingness to engage...
Get answers to your most pressing questions about US Legal Forms API.
What is the nurse aide registry?
The nurse aide registry in Washington is a certification database that tracks nurse aides who have completed the required training and exams. This registry is essential for ensuring quality care in healthcare settings. If you are seeking information related to WA DSHS 16-193 and the nursing field, this registry serves as an important resource for both employers and job seekers.
How to apply for DSHS benefits in Washington?
To apply for DSHS benefits in Washington, visit the WA DSHS 16-193 portal for an online application, or you can apply in person at your local DSHS office. Be sure to have your identification and necessary documents prepared to expedite the process. For additional support, the USLegalForms platform can help guide you in completing your application accurately.
What is the maximum income to qualify for food stamps in Washington?
The maximum income to qualify for food stamps in Washington varies based on household size and expenses. Generally, most households must have an income below 200% of the federal poverty level. For specific information related to your situation, refer to the WA DSHS 16-193 guidelines or use the USLegalForms platform to assist in your application process.
How do I report changes to DSHS in Washington State?
You can report changes to DSHS in Washington State by contacting your local office directly via phone or in person. Additionally, you can submit changes online through the WA DSHS 16-193 portal. Timely reporting is crucial to maintain your eligibility for benefits, so ensure your information is up-to-date.
How do I send documents to DSHS Washington State?
To send documents to DSHS in Washington State, you can use several methods including mail, fax, or secure online submission through the Washington DSHS portal. Make sure to include your WA DSHS 16-193 number with your documents to ensure proper processing. If you prefer a more streamlined approach, consider using the USLegalForms platform for easy document management and submission.
What is the phone number for DSHS food stamps in Washington State?
If you need assistance with food stamps in Washington State, you can reach the DSHS by calling their customer service line. The phone number for DSHS food stamps inquiries is 1-877-501-2233. When you call, be ready to discuss your situation and have any necessary information handy. This service helps you understand the food assistance programs available under WA DSHS 16-193.
How do I submit documents to DSHS Washington State?
To submit documents to DSHS Washington State, use their online filing system or mail your documents directly to your local office. Make sure to include your name, case number, and any other identification details to facilitate processing. Following these steps is vital for compliance with WA DSHS 16-193 regulations and a smooth application process.
How do I submit documents to healthcare?
To submit documents to healthcare, use the secure online account created during your application process. You can upload documents like proof of income or residency directly through the portal. Alternatively, you can mail the documents if online submission is not feasible. Taking these steps helps ensure you meet eligibility criteria, including those under WA DSHS 16-193.
How do I renew my SNAP benefits in Washington state?
Renewing your SNAP benefits in Washington State involves completing an application form online or in person at your local DSHS office. Make sure to provide all required documentation to avoid delays. It’s important to keep track of renewal dates and requirements to remain eligible for benefits under WA DSHS 16-193 guidelines. You can also check your status online.
How to submit documents to DSHS Washington state?
To submit documents to DSHS Washington State, you can utilize online options available on the DSHS website. You may also mail your documents to your local Community Services Office. Ensure you include clear identification information such as your name and case number. This process is essential for clients who need to comply with WA DSHS 16-193 requirements.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.
This form is available in several versions. Select the version you need from the drop-down list below.