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
15-597 DDA Youth Transitional Care Facility Admission Checklist (Developmental Disabilities Administration)
10-701 Enhanced Respite Services School Notification (Developmental Disabilities Administration)
10-700 CCRSS Follow-Up Visit (Certified Community Residential Services and Supports, Residential Care Services.)
10-693 Group Training Home (GTH) Client Sample Packet (Residential Care Services)
10-692 Group Training Home (GTH) Team Coordinator (TC) Packet (Residential Care Services)
10-699 Certified Community Residential Services and Supports (CCRSS) Certification Evaluation Exit Preparation / Exit Conference (Residential Care Services)
10-698 Certified Community Residential Services and Supports (CCRSS) Certification Evaluation Administrator Record Review and Interview (Residential Care Services)
10-617B Certified Community Residential Services and Supports (CCRSS) Group Training Home (GTH) Client Environment and Safety Worksheet (Residential Care Services)
16-278 Exhibit E: School-to-Work Success Story (Division of Vocational Rehabilitation)
02-751 Accommodations / Modifications Request