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
27-226 Adult Family Home Management Agreement: Attestation Information and Attachments (Residential Care Services)
16-269 Adult Family Home No One Home Letter (Residential Care Services)
27-223 Adult Family Home Policies and Procedures Attestation
16-268 Adult Family Home Post-Licensing Instructions (Residential Care Services)
15-559 Adult Family Home Referral Request (Developmental Disabilities Administration)
02-516 Adult Family Home Resident Personal Belongings Inventory (Residential Care Services)
14-551 Adult Family Homes (AFH) State Civil Penalty Reinvestment Program Grant Application
10-711 Adult Family Homes Program Training Plan (Residential Care Services)
06-188 Adult Protective Services (APS) Investigations Fact Sheet (Aging and Long-Term Support Administration)
09-052 Affidavit of Forged Endorsement