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
13-928 Withdrawal of Petition for Conditional Release or Unconditional Release (Behavioral Health and Habilitation Administration)
13-919 Weekly Status Update (Competency Restoration Program) (Behavioral Rehabilitation Administration)
20-334 Washington State Learning Center (LC) New Course Request (Division of Developmental Disabilities)
14-439 Washington State Combined Application Program (WASHCAP) Application
09-728 Washington State Addendum to Box 2 of Part B - Plan Administrator Response
14-463 Waiver Transportation Record (DDA)
11-194 Waiver Stabilization Services Progress and Transition Report (Developmental Disabilities Administration)
09-508 Waiver of Statute of Limitations
12-212 Waiver of Administrative Disqualification Hearing (Community Services Division)
20-341 WA Cares Fund Provider Application for Registration