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
10-657 Initial Life Skills Plan (Developmental Disabilities Administration)
10-658 Life Skills 90-Day (Quarterly) Report (Developmental Disabilities Administration)
10-660 Community Engagement Quarterly Progress Report (Developmental Disabilities Administration)
10-661 Music Therapy 90-Day (Quarterly) Report (Developmental Disabilities Administration)
10-662 Equine Therapy 90-Day (Quarterly) Report (Developmental Disabilities Administration)
10-663 Existing Companion Home (CH) Movers Checklist (Developmental Disabilities Administration)
10-664 New or Update Provider Information Worksheet (Developmental Disabilities Administration)
10-665 Alternative Living Provider Application (Home and Community Living Administration)
10-666 Certification Evaluation Checklist for Overnight Planned Respite Services Providers (Home and Community Living Administration)
10-668 PASRR Level 2 Evaluation and Determination (Developmental Disabilities Administration)