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
06-159A Specialized Evaluation and Treatment Provider Invoice (Developmental Disabilities Administration)
06-199 Specialized Evaluation and Consultation Quarterly Report (Developmental Disabilities Administration) n
06-159 Specialized Evaluation and Consultation Provider Invoice (Developmental Disabilities Administration)
16-191 SOLA Vehicle Trip Log (Developmental Disabilities Administration)
02-615 Social Services Invoice / Receipt Packet Cover (Home and Community Services)
14-084 Social Service Referral
18-399 Social Service Incorrect Payment Computation
15-376 Skin Observation Protocols
13-956 Skin Observation (Developmental Disabilities Administration)
16-245 Skills Practice Procedure Checklist for Home Care Aides DSHS Approved (Home and Community Services)