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
18-682 Detail Sheet – Uninsured Health Care Expenses
18-681 Request for Collection of Uninsured Health Care Expenses
18-607 Child Care Verification
18-555 Financial Information Sheet
18-551 School Statement
18-544 Transmittal of Resident Personal Funds
18-484 Automatic Payment Authorization and Electronic Funds Transfer Information
18-483 Employer Payment Identification Instructions
18-464 Introduction to New Hire Reporting
18-463 New Hire Reporting Methods and Instructions (Division of Child Support)