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SIGNATURE DOCUMENT FOR THE DEPARTMENT OF STATE HEALTH SERVICES CONTRACT NO. HHS001223300025 The DEPARTMENT OF STATE HEALTH SERVICES (DSHS or System Agency), an administrative agency within the executive

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How to fill out dshs agreement number

01

Obtain the DSHS agreement number form from the Department of Social and Health Services.

02

Fill out the form by providing all the requested information accurately.

03

Double-check the filled-out form for any errors or missing information.

04

Sign and date the form as required.

05

Submit the completed form to the appropriate DSHS office for processing.

Who needs dshs agreement number?

01

Individuals or organizations who are applying for or receiving services from the Department of Social and Health Services may need a DSHS agreement number. This number is used to track and manage agreements between DSHS and its clients.

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What is dshs agreement number?

The DSHS agreement number is a unique identification number assigned to agreements with the Washington State Department of Social and Health Services.

Who is required to file dshs agreement number?

Anyone entering into an agreement with the Washington State Department of Social and Health Services is required to file a DSHS agreement number.

How to fill out dshs agreement number?

To fill out a DSHS agreement number, you must complete the required fields on the agreement form provided by the Department of Social and Health Services.

What is the purpose of dshs agreement number?

The purpose of the DSHS agreement number is to track and manage agreements with the Washington State Department of Social and Health Services.

What information must be reported on dshs agreement number?

The DSHS agreement number must include details such as the parties involved, the terms of the agreement, and any relevant dates.

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