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
10-660 Community Engagement Quarterly Progress Report (Developmental Disabilities Administration)
15-550 Community Instructor Application (Home and Community Services)
02-692 Community Instructor Class List Tracking Log
10-641 Community Instructor Qualification Tool (Home and Community Services)
15-551 Community Instructor Training Program Application and Updates (Home and Community Services)
02-743 Community Instructor Training Report (Home and Community Services)
02-714 Community Instructors Virtual Classroom Training Application (Home and Community Services)
15-365 Community Protection Treatment Worksheet Quarterly Review
11-164 Community Rehabilitation Program (CRP) Services and Qualifications (Division of Vocational Rehabilitation)
10-613 Community Residential Services and Supports (CCRSS) Certification Evaluation Client Supports Observation (Residential Care Services)