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
15-552 Curriculum Approval Application (Home and Community Services)
11-068 Customer Internship Program Internship Application (Division of Vocational Rehabilitation)
15-568 DDA Alternative Living Provider Orientation (Developmental Disabilities Administration)
27-210 DDA Authorization for Release of Referral Video (Developmental Disabilities Administration)
15-356 DDA Community Protection Program Chaperone Agreement
14-549 DDA Companion Home Provider Application (Developmental Disabilities Administration)
16-237 DDA GovDelivery Communication Request (Developmental Disabilities Administration)
10-331 DDA Mortality Review Provider Report (Developmental Disabilities Administration)
13-911 DDA Nursing Service Referral (Developmental Disabilities Administration)
10-623 DDA PASRR Significant Change Invalidation (Developmental Disabilities Administration) (Pre-Admission Screening and Resident Review)