Dshs 10 2025

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4.3 out of 5

195 votes

The document is an application form for obtaining a license to operate an Adult Family Home (AFH) in Washington State. It includes sections for applicant information, proposed facility details, landlord information, legal entity data, background checks, and consent for the release of confidential information. The application outlines various types of applications (initial, change of ownership, relocation), associated fees, and requirements for licensing compliance. It emphasizes the importance of accurate information and adherence to state regulations regarding care for vulnerable adults.

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Click ‘Get Form’ to open the dshs 10 application in the editor.
Begin with Section 1, selecting the type of application: Initial, Change of Ownership, or Relocation. Fill in your current AFH address and license number.
In Section 2, provide details about the proposed Adult Family Home including its name, address, and contact information.
Section 3 requires landlord information. Indicate ownership status and provide the landlord's name and address.
For Sections 4 and 5, enter your UBI number, EIN number, and legal entity information if applicable.
Continue through Sections 6 to 15 by listing affiliated individuals, providing spouse or partner information, and certifying your application at the end.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (191 Votes)
2018	4.3 Satisfied (195 Votes)
2014	4.4 Satisfied (214 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the maximum income to qualify for food stamps in Washington?

Who is Eligible for SNAP? person. $2,510. people. $3,407. people. $4,303. people. $5,200. people. $6,097. people.

What is the income limit for housing assistance in Washington state?

Adults (19-64)Apple Health eligibility Total number in family (including yourself)Monthly income limit for free coverageAnnual income limit for free coverage 1 $1,780 $21,597 2 $2,433 $29,187 3 $3,065 $36,777 4 $3,697 $44,3672 more rows

What is the highest income to qualify for Snap?

Section 8 Income Eligibility Income Limit1 Person4 People Very Low $40,550 $57,900 Extremely Low $24,350 $34,750

What is the best time to call DSHS?

The Washington Department of Social and Health Services (DSHS) is a state government agency that provides many types of services and benefits to people who live in Washington State who need support to be safe and healthy. Visit dshs.wa.gov to learn more.

What is the income limit for DSHS in Washington state?

The best time to call is before 11 a.m. The busiest time to call is 11 a.m. to 2 p.m. We can determine your eligibility for all of our programs in one interview. How often can I get this help? This program is available to households for only one month in a 12-month period for each specified state of emergency.

What does DSHS stand for in WA?

You may complete an online application by using the WashingtonConnection.org website, applying by phone at 877-501-2233 or going to your local Community Services Office. On WashingtonConnection.org you can: Start a new application. Report a change, such as address, income or family situation.

Dshs 10 2025

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