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
16-356 Adaptive Equipment and Technology Monitoring Self-Assessment (WaCares Fund)
16-357 Adult Family Home Monitoring Self-Assessment (WaCares Fund)
16-358 Assisted Living Facility Monitoring Self-Assessment (WaCares Fund)
16-359 Care Transition Coordination Monitoring Self-Assessment (WaCares Fund)
16-360 Dementia and Behavioral Supports Monitoring Self-Assessment (WaCares Fund)
16-361 Education and Consultation Services Monitoring Self-Assessment (WaCares Fund)
16-362 Home Delivered Meals Monitoring Self-Assessment (WaCares Fund)
16-363 Nursing Home Facility Monitoring Self-Assessment (WaCares Fund)
16-364 Professional Nursing Services Monitoring Self-Assessment (WaCares Fund)
16-365 Transportation Services Monitoring Self-Assessment (WaCares Fund)