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LOCAL OFFICE WORKERS NAME TELEPHONE NUMBER CASE NUMBER RULE EXCEPTION REQUEST MAIL STOP DATE CASE NAME 1. Client information (name of adults and/or children): LAST NAME FIRST NAME MI 2. WAC references
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What is 05 010doc - dshs?
05 010doc - dshs is a specific form used for reporting certain information to the Department of Social and Health Services.
Who is required to file 05 010doc - dshs?
Entities or individuals designated by the Department of Social and Health Services are required to file 05 010doc - dshs.
How to fill out 05 010doc - dshs?
05 010doc - dshs should be filled out according to the instructions provided by the Department of Social and Health Services.
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The purpose of 05 010doc - dshs is to gather specific information for regulatory or statistical purposes.
What information must be reported on 05 010doc - dshs?
The specific information that must be reported on 05 010doc - dshs will be outlined in the form instructions provided by the Department of Social and Health Services.
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