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
13-952 Bowel Protocol (Developmental Disabilities Administration)
13-951 Aspiration / Choking Plan (Developmental Disabilities Administration)
27-253 New Freedom Authorized Representative (Home and Community Services)
27-252 Adult Family Home Applicant Attestation Concerning Household Members and Background Check Requirements (Residential Care Services)
10-575 Adult Family Home (AFH) Inspection Packet (Residential Care Services)
10-564 Adult Family Home Floor Plan Key (Residential Care Services)
10-563 Residential Care Services Notes (Residential Care Services)
10-562 Exit Preparation Worksheet (Residential Care Services)
10-561 Staff Interview (Residential Care Services)
10-560 Provider / Resident Manager Interview (Residential Care Services)