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
03-374E Nondisclosure of Confidential Information Agreement for Non-Employee (eJAS Access)
16-107 Noncustodial Parent's Rights and Responsibilities
14-057B Noncustodial Parent Child Support Enforcement Application
16-072 NonAssistance Support Enforcement Information (Division of Child Support)
18-399A Non-SSPS Client / Provider Overpayment AFRS Coding Computation
13-925A Non-Formulary Drug Use Request (Behavioral Health and Habilitation Administration)
17-230 Non-Emergency Medical Transportation (NEMT) for PASRR Program Request
10-664 New or Update Provider Information Worksheet (Developmental Disabilities Administration)
18-463 New Hire Reporting Methods and Instructions (Division of Child Support)
16-244 New Freedom Participant Responsibility Agreement