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
14-552 TED Program Pilot Project: Application for Emergency Alerting Device KIT (Office of the Deaf and Hard of Hearing)
10-632 TB Testing Review for Staff (Aging and Long-Term Support Administration)
10-633 TB Testing Review for Resident (Aging and Long-Term Support Administration)
04-449A Survivors Feedback (Domestic Violence Intervention Treatment)
10-604 Supported Living Information Changes (Residential Care Services)
11-146 Supported Employment Referral (Economic Services Administration)
14-528 Substance Use Good Cause Appointment Letter (HEN Referral)
14-527 Substance Use Disorder Requirements (HEN Referral Program)
14-529 Substance Use Disorder Requirements (ABD / PWA)
02-759 Subleased Housing Memorandum of Understanding Residential Provider Attestation (Developmental Disabilities Administration)