Electronic DSHS Forms

The Electronic DSHS Forms page is a centralized repository where the public can find and download official forms for Washington Department of Social and Health Services programs.

You may download some DSHS forms. These are provided only if a DSHS program requests forms to be available electronically for public use. DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. This means you can open, view, and print each form. To open, view, and print PDF forms, you need to download the free Adobe Acrobat Reader.

We do our best to ensure the links below are accurate; but, if you find a link which does not work, please contact Forms and Records Management.

Number Form Name Form File
16-302 Residency Agreement Language (Home and Community Living Administration)
14-493 Requirement to Identify a Representative (Developmental Disabilities Administration)
11-193 Request to Provide CRP-IL Services and Background Check: Update Account (Division of Vocational Rehabilitation)
11-192 Request to Provide CRP-IL Services and Background Check: Create Account (Division of Vocational Rehabilitation)
10-709 Request for Residential Habilitation for Dependent Youth Services (Developmental Disabilities Administration)
17-041 Request for Records
17-194 Request for Mental Health Service Information
18-701 Request for Income Information for Purposes of Entering or Enforcing a Child Support Order
05-013 Request for Hearing
13-925 Request for Formulary Admission or Deletion (Behavioral Health Administration)