All requests to use alternative forms must be approved annually by policy staff at the onset of each contract year or during the contract year. Custom forms must contain the Civil Rights Nondiscrimination Statement. Providers must use the DSHS forms if you have not received approval to use an alternate form from policy staff.
A written request for alternate forms can be made to DSHS via email to SWBFETPolicy@DSHS.WA.GOV or at the time of BFET Application:
•BFET Individual Employment Plan (IEP)
•BFET Participant Reimbursement Request Form (DSHS 07-103)
If your agency utilizes an approved alternate form, your agency must maintain documentation of policy staff approval and provide it to DSHS for review during the monitoring visit.
For DSHS Policy Contracted Providers
Submit all alternate form requests to BFET Policy at SWBFETPolicy@DSHS.WA.GOV for approval or during renewal application.
For SBCTC Contracted Providers
Submit all alternate form requests to Jennifer Dellinger at JDellinger@SBCTC.EDU for approval. Submit alternate forms with your grant application.
For DSHS ORIA Contracted Providers
Submit all alternate form request to McKenzie Nassiri at McKenzie.Nassiri@DSHS.WA.GOV for approval.