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MAILING ADDRESS DSS USE ONLY:Department of State Health Services Environmental & Sanitation Licensing Group P.O. Box 149200 Austin, Texas 787149200BUDGET/FUND: ZZ112085http://www.dshs.state.tx.us/elp
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To fill out for DSHS use only, follow these steps:
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Gather all the necessary information and documents required by DSHS.
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Start by providing your personal details such as your name, address, and contact information.
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Read the instructions carefully and answer all the questions accurately.
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If there are any specific sections or fields labeled for DSHS use only, leave them blank as those are not meant for you to fill out.
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Submit the form to the designated DSHS office or address as mentioned in the instructions.

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The DSHS use only form is intended for internal use by the Washington State Department of Social and Health Services (DSHS) and its authorized personnel. It is not meant for public use or for individuals outside of DSHS to fill out. Only authorized DSHS staff should complete this form.
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For DSHS use only refers to information that is meant for internal use by the Department of Social and Health Services and not intended for public disclosure.
Only authorized personnel within the Department of Social and Health Services are required to file information for DSHS use only.
To fill out information for DSHS use only, follow the specific guidelines provided by the Department of Social and Health Services and ensure that only relevant and necessary information is included.
The purpose of for DSHS use only is to protect sensitive information and ensure that it is only accessed and utilized by authorized individuals within the Department of Social and Health Services for official purposes.
Information that is considered confidential, sensitive, or proprietary should be reported on for DSHS use only.
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