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DEPARTMENT OF SOCIAL AND HEALTH SERVICES DOMESTIC VIOLENCE INTERVENTION TREATMENT (DAVIT) Programmed, Change, or Remove Direct Service Staff for a Certified DAVIT Program All forms must be signed
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Anyone who is required to provide information or apply for benefits through the DSHS (Department of Social and Health Services) may need to download and fill out the DSHS Form 05-262. This may include individuals or families seeking assistance for programs such as Medicaid, food assistance, cash assistance, childcare, or long-term care.
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DSHS Form 05-262 is a document used by the Department of Social and Health Services in Washington State, typically for reporting certain information related to services and programs managed by the department.
Individuals or organizations involved in the services offered by the Department of Social and Health Services that require reporting or accountability are generally required to file DSHS Form 05-262.
To fill out DSHS Form 05-262, you must provide accurate information as requested on the form, which may include personal details, service information, and other relevant data. It's important to follow the instructions provided with the form.
The purpose of DSHS Form 05-262 is to collect necessary information to ensure compliance with state regulations, aid in program administration, and provide accountability for services delivered.
Information required on DSHS Form 05-262 may include identification details of the individual or organization, the nature of the services provided, and any other specific reporting requirements outlined in the form.
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