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
02-758 Subleased Housing Memorandum of Understanding Renter Attestation (Developmental Disabilities Administration)
16-343 Student Status Confirmation
02-690 Student Evaluation Summary Report
02-691 Student Class Evaluation
14-438 Stop Work
02-611 Statement of Understanding: Mid-Certification Review
18-097 Statement of Resources and Expenses
14-050 Statement of Health, Education, and Employment
14-436 Statement of Adult Acting in Loco Parentis (As a Parent)
14-223 Statement from School