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
18-433 Declaration of Support Payments (Division of Child Support)
27-155 Declaration on Commercial Purposes
27-208 Declaration to Adult Protective Services
18-398B Department of Children, Youth, and Families (DCYF) Client Overpayment Notice
18-682 Detail Sheet – Uninsured Health Care Expenses
18-700 Direct Deposit Authorization
14-432 Direct Deposit Enrollment
14-530 Disability Review
10-351 Disclosure of Services Required by RCW 18.20.300 (Assisted Living Facilities)
11-180 Discovery Profile Report (Division of Vocational Rehabilitation)