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
10-630 Paid Feeding Assistant Program Review (Aging and Long-Term Support Administration)
10-571 Overnight Planned Respite Services Individualized Agreement
10-639 Overnight Planned Respite Services (OPRS) Certification Evaluation (Home and Community Living Administration)
20-333 Outpatient Competency Restoration Program (OCRP) Transition Plan (Behavioral Health Administration)
13-920 Outpatient Competency Restoration Program (OCRP) Discharge Summary
27-063 Out-of-Home Services Agreement for Youth (Age 18-21) (Developmental Disabilities Administration)
15-567 On-the-Job Facility Training Plan Application and Updates (Home and Community Services)
05-248 On-Site Review (Office of Refugee and Immigrant Assistance)
17-238 ODHH Approved Sign Language Interpreter Complaints
13-780 Nursing Services Basic Skin Assessment (Home and Community Services)