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 Sort descending Form File
10-559A Administrative Records Review Continuation (Residential Care Services)
14-299 Adult Assessment Referral (Economic Services Administration)
10-580 Adult Day Services Referral
06-184 Adult Family Home (AFH) Capacity Increase Working Papers (Residential Care Services)
16-277 Adult Family Home (AFH) Confirmation Letter (Residential Care Services)
21-065 Adult Family Home (AFH) Emergency Evacuation Drill
27-179 Adult Family Home (AFH) Informal Dispute Resolution (IDR) Request (Residential Care Services)
10-695 Adult Family Home (AFH) Initial Inspection Preparation Checklist (Residential Care Services)
15-589 Adult Family Home (AFH) Initial Licensing Inspection (Residential Care Services)
10-575 Adult Family Home (AFH) Inspection Packet (Residential Care Services)