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
02-709 Adult Family Home (AFH) Personnel Changes (Residential Care Services)
03-506 Character, Competence, and Suitability Assessment
13-920 Outpatient Competency Restoration Program (OCRP) Discharge Summary
05-272 Case Manager Instructions Following a Hearing Decision
10-644 Home and Community-Based Services (HCBS) Waiver Approval Notification (DDA)
14-550 Job Foundation Application (Developmental Disabilities Administration)
13-919 Weekly Status Update (Competency Restoration Program) (Behavioral Rehabilitation Administration)
17-284 Preferred Sign Language Interpreter List (Office of Deaf and Hard of Hearing)
18-463 New Hire Reporting Methods and Instructions (Division of Child Support)
12-212 Waiver of Administrative Disqualification Hearing (Community Services Division)