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  • US Legal Forms
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  • Wa Dshs 15-051 2015

Get Wa Dshs 15-051 2015-2025

Copies will be requested by Case Managers at the time of reassessment. DSHS may request copies at any time. CLIENT S SIGNATURE This form is available at https //www. dshs. wa.gov/fsa/forms DSHS 15-051 REV. 06/2015 COPIES TO Individual Provider Client/Employer. HOME AND COMMUNITY SERVICES HCS DEVELOPMENTAL DISABILITIES ADMINISTRATION DDA Individual Provider Time Sheet CLIENT/EMPLOYER NAME Day of Month A Time Service Began B Ended C Total Hours Each Day D Mileage INDIVIDUAL PROVIDER S NAME CM NAME MONTH/YEAR TOTALS CHECK TASKS PEFORMED DURING MONTH AS ASSIGNED IN CLIENT S SERVICE PLAN PERSONAL CARE PROVIDERS ONLY Meal Preparation Eating Escort / Transport to Medical Tasks for adult clients only. Dressing Personal Hygiene Bed Mobility / Positioning Walking / Locomotion Application of Lotion / Ointment Toenails Trimmed Transfer Bathing Toileting Housework Passive Range of Motion Treatment Essential Shopping Wood Supply Dry Bandage Change Medication Management DDD Respite INSTRUCTIONS FOR D....

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How to fill out the WA DSHS 15-051 online

The WA DSHS 15-051 is an essential document for individuals providing services to those with developmental disabilities. This guide will support you through each section of the form, ensuring correct and effective completion.

Follow the steps to fill out the WA DSHS 15-051 online

  1. Press the ‘Get Form’ button to access the form and open it in your editor.
  2. Enter the client or employer's name at the top of the form.
  3. Fill out the day of the month in column A and enter the time services began in column B, indicating AM or PM as appropriate.
  4. Record the time services ended in column C, also noting AM or PM.
  5. Calculate and enter the total hours worked each day in column D.
  6. If applicable, document the mileage traveled for the client in the designated column.
  7. Repeat steps 3 to 6 for each day of the month provided in the form.
  8. Review the checklist at the bottom to mark the tasks performed during the month as assigned in the client’s service plan.
  9. Make sure to sign the form along with the client’s signature where indicated.
  10. After filling out the form, you can save your changes, download, print, or share the completed document.

Complete your WA DSHS 15-051 online to ensure timely processing of services.

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Contact support

You can reach the Washington EBT customer service helpline by calling the number found on your EBT card or on the DSHS website. They are available to assist with questions related to your benefits, transactions, and any issues you may face. Utilizing these resources can provide clarity regarding your benefits as outlined in WA DSHS 15-051.

DSHS verification documents are specific records that DSHS requires to confirm the accuracy of your application. These documents may include proof of identity, income verification, and residency details. Providing accurate verification documents is crucial for a timely and successful benefits determination.

To file a complaint against WA DSHS, you can visit their official website to find the appropriate procedure. You may need to complete a specific form, which allows you to detail your concerns clearly. Submitting your complaint through the official channels ensures that your issues are addressed properly.

You can submit your documents to WA DSHS through several methods. You may choose to mail them, drop them off in person at your local office, or upload them via the DSHS online portal. Be sure to keep copies for your records and check that all necessary information is included.

To apply for DSHS benefits in Washington, you can visit the DSHS website or use their dedicated application portal. When you navigate to WA DSHS 15-051, you will find detailed guidelines to help you submit your application smoothly. Consider gathering all required documents beforehand to streamline the process and ensure timely assistance.

The documents required for DSHS verification include identification cards, proof of income, utility bills, and tax returns. When applying through WA DSHS 15-051, ensuring you have all necessary paperwork will expedite your application. It's important to review the specific requirements laid out by DSHS to avoid delays.

Verification documents refer to any paperwork required to confirm your identity, residency, income, and other key factors when applying for benefits. In the context of WA DSHS 15-051, you might need specific forms that validate your financial status. Having these documents organized will streamline your application process.

You can send documents to DSHS in Washington State through multiple methods, including fax, mail, or online uploads. If you are interacting with the WA DSHS 15-051 program, ensure you have the appropriate documents ready for submission. The online method is often the quickest, allowing for immediate processing and review of your materials.

Yes, the DSHS may check bank accounts to gather information for your financial eligibility when applying for benefits such as those outlined in WA DSHS 15-051. This process helps them ensure that only qualified applicants receive assistance. If you have concerns about privacy, be assured that DSHS follows strict guidelines to protect your information.

For inquiries related to Washington EBT reviews, you can contact the Washington State Department of Social and Health Services (DSHS) at their customer service number. They provide dedicated assistance for your EBT questions, ensuring that all your concerns regarding WA DSHS 15-051 can be addressed promptly. It’s advisable to have relevant details ready for a smoother experience.

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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
Help Portal
Legal Resources
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