Electronic DSHS Forms
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(asc) | File Format | |
|---|---|---|---|
| 15-365 | Community Protection Treatment Worksheet Quarterly Review | ||
| 02-714 | Community Instructors Virtual Classroom Training Application (Home and Community Services) | ||
| 02-743 | Community Instructor Training Report (Home and Community Services) | ||
| 15-551 | Community Instructor Training Program Application and Updates (Home and Community Services) | ||
| 10-641 | Community Instructor Qualification Tool (Home and Community Services) | ||
| 02-692 | Community Instructor Class List Tracking Log | ||
| 15-550 | Community Instructor Application (Home and Community Services) | ||
| 10-660 | Community Engagement Quarterly Progress Report (Developmental Disabilities Administration) |
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| 14-431A | Community Crisis Stabilization Services (CCSS) Medical / Dental Services Authorization (Developmental Disabilities Administration) | ||
| 05-252 | Code of Ethics and Standards of Practice (Division of Vocational Rehabilitation) | ||
| 18-720 | Client Responsibility Notice (Home and Community Services) |
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| 15-358 | Client Referral Summary (Developmental Disabilities Administration) | ||
| 18-398 | Client Overpayment Notice |
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| 15-314 | Client Necessary Supplemental Accommodation Representative Requirement Checklist | ||
| 14-238 | Client Income Report (Developmental Disabilities Community Services) | ||
| 12-209 | Client Fraud Report | ||
| 21-060 | Children’s State Operated Living Alternative (SOLA) Quality Assurance Assessment | ||
| 10-721 | Children’s Residential Habilitation Services Certification Evaluation (Home and Community Living Administration) | ||
| 10-682 | Childrens Stabilization Habilitation Plan (Developmental Disabilities Administration) | ||
| 10-649 | Children's State Operated Living Alternatives (SOLA) Certification Evaluation (Developmental Disabilities Administration) | ||
| 21-059 | Children's Staffed Residential Quality Assurance Assessment | ||
| 16-230 | Children's Residential Services | ||
| 15-595 | Children's Behavior Intervention Plan (Developmental Disabilities Administration) | ||
| 14-057D | Child Support Referral Continuation | ||
| 14-057 | Child Support Referral |
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