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WA DSHS 14-260 2012-2025 free printable template

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INTAKE TYPE CHILDREN S ADMINISTRATION CPS Risk Only Non CPS Intake Report A. PARENT(S) IDENTIFICATION MOTHER S NAME (LAST, FIRST, M.I.) RACE/TRIBAL STATUS ADDRESS DATE OF BIRTH CITY TELEPHONE NUMBER
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How to fill out WA DSHS 14-260

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How to fill out WA DSHS 14-260

01
Obtain the WA DSHS 14-260 form from the official website or local DSHS office.
02
Read the instructions on the form carefully to understand what information is required.
03
Fill out the personal information section with your name, address, and contact details.
04
Provide any required identification numbers such as Social Security Number or other relevant IDs.
05
Complete the sections that ask for details related to the specific assistance or services you are applying for.
06
Review the filled form to ensure all information is accurate and complete.
07
Sign and date the form at the indicated section.
08
Submit the completed form to the designated DSHS office either in person or via mail.

Who needs WA DSHS 14-260?

01
Individuals or families in need of financial assistance or social services in Washington State.
02
Those applying for benefits such as food assistance, cash assistance, and medical aid.
03
Anyone who is required to provide verification of income, resources, or other relevant details to the Department of Social and Health Services.
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People Also Ask about

Call 1-866-ENDHARM (1-866-363-4276), Washington State's toll-free, 24 hour, 7 day-a-week hotline that will connect you directly to the appropriate local office to report suspected child abuse or neglect. Fax: (509) 363-4601 TTY: (509) 363-3567 or call 1-800-624-6186 to place a direct TTY call.
CPS must begin an investigation to find facts backed by evidence for them to be able to take action. CPS will attempt to complete investigations within 45 days. They can also request an extension to 90 days if the police or a prosecuting attorney determines that a longer investigation period is necessary.
You can contact Records.Management@dfps.state.tx.us or call 512-929- 6764 or toll free 877-764-7230. Once you receive your records, you will need to look over them to make sure you have everything.
Texas Department of Family and Protective Services (DFPS)
This form allows DFPS staff to designate the Medical Consenter for these members. It provides the important information caregivers require to meet the child's health-care needs. This form also allows the member to access health-care services immediately upon DFPS removal.
8.1. 1 Intake is the process of meeting face to face with the family to explain what EI is and to complete all initial steps required prior to beginning the Evaluation/Assessment process.

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WA DSHS 14-260 is a form used by the Washington State Department of Social and Health Services for reporting various information related to health and social services.
Organizations and individuals who provide or receive services related to state welfare programs are required to file WA DSHS 14-260.
To fill out WA DSHS 14-260, carefully follow the instructions provided in the form, ensuring that all required fields are completed accurately and any necessary documentation is attached.
The purpose of WA DSHS 14-260 is to collect necessary information to ensure compliance with state regulations and to facilitate the management of services provided by the Department of Social and Health Services.
The information that must be reported on WA DSHS 14-260 includes personal identification details, service-related information, and any other relevant data as required by the form's guidelines.
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