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
27-223 Adult Family Home Policies and Procedures Attestation
27-222 Consent to Release and/or Use Confidential Information for Completing an Adult Home License Application
27-220 Disposition of Remains / Release of Body Permit (Developmental Disabilities Administration)
27-219 Death Notification Checklist for Medical Providers (Developmental Disabilities Administration)
27-218 Death Notification Checklist for Residential Habilitation Center (RHC) Staff (Developmental Disabilities Administration)
27-215 Teleservice Agreement (Developmental Disabilities Administration)
27-210 DDA Authorization for Release of Referral Video (Developmental Disabilities Administration)
27-209 Nursing Home Informal Dispute Resolution Request (Residential Care Services)
27-208 Declaration to Adult Protective Services
27-207 Acknowledgement Statement (Meaningful Day) (Home and Community Services)