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
11-098 Vocational Assessment Worksheet
13-955 Vital Signs Tracking (Developmental Disabilities Administration)
16-213 Verification of Legal Status
17-299 Vendor Agreement Information (Behavioral Health Administration)
09-013 Vendor Affidavit of Lost, Stolen, or Destroyed Warrant
18-398A Vendor / Provider Overpayment Notice
10-628 Trust Fund Review (Aging and Long-Term Support Administration)
11-058 Trial Work Experience (TWE) Agreement (Division of Vocational Rehabilitation)
18-544 Transmittal of Resident Personal Funds
01-210 Transmittal of Client Funds from the Protective Payee