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DEPARTMENT OF SOCIAL AND HEALTH SERVICES DOMESTIC VIOLENCE INTERVENTION TREATMENT (DAVIT) PROGRAMApplication for New Program Certification All forms must be signed and filled out completely. Incomplete
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The DSHS Form DSHS05-260 is a document used by the Department of Social and Health Services to collect specific information related to health services and program eligibility.
Individuals or entities applying for certain services from the Department of Social and Health Services may be required to file this form.
To fill out the DSHS Form DSHS05-260, you should provide the required personal information, attach necessary documentation, and follow any specific instructions provided with the form.
The purpose of the DSHS Form DSHS05-260 is to gather information necessary for determining eligibility for various health and social services.
The information reported on DSHS Form DSHS05-260 may include personal identification details, income levels, household composition, and other relevant data required for eligibility assessment.
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