In the landscape of ensuring the safety and welfare of individuals under the care of various services within Washington State, the DSHS 09-653 form stands as a crucial tool. This form, widely known as the Background Authorization form, serves multiple functions aimed at vetting individuals who may work with or provide services to vulnerable populations such as children, juveniles, and adults requiring protective services. It is meticulously designed to gather comprehensive information about the applicant, spanning from personal identification details like social security number and date of birth to more poignant inquiries regarding past criminal convictions, charges pending against the individual, and histories of abuse or neglect. The form is divided into sections, each with specific instructions to ensure clarity and completeness of the information provided. Furthermore, it outlines the responsibilities of the requesting entity or person, emphasizing the need for accuracy and completeness to avoid common reasons for rejection such as illegible handwriting, incorrect form usage, or incomplete information. As the form navigates through different administrations within the Department of Social and Health Services (DSHS), it underscores the collaboration between various sectors like the Children’s Administration, Economic Services Administration, Adult Protective Services, and state employment, reflecting a holistic approach towards safeguarding the welfare of vulnerable populations in Washington State.
| Question | Answer |
|---|---|
| Form Name | Dshs 09 653 Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | 09_653 dshs background mailing address form |
