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(desc) | File Format | |
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27-144 | CSD Disability Eligibility Review Contractor Self-Assessment Monitoring Tool | ||
11-068 | Customer Internship Program Internship Application (Division of Vocational Rehabilitation) |
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10-584 | Data Summary Report and Recommendations (Developmental Disabilities Administration) | ||
13-738 | DDA / DCYF Request to Cost Share (Developmental Disabilities Administration) (Department of Children, Youth, and Families) | ||
15-568 | DDA Alternative Living Provider Orientation (Developmental Disabilities Administration) | ||
27-210 | DDA Authorization for Release of Referral Video (Developmental Disabilities Administration) | ||
15-318 | DDA Crisis Diversion Bed Referral and Intake Information | ||
10-331 | DDA Mortality Review Provider Report (Developmental Disabilities Administration) | ||
13-903 | DDA Request for Additional Units Nurse Delegation (Developmental Disability Administration) | ||
10-688 | DDA Specialty Adult Family Home (AFH) Pilot Monthly Client Goal and Progress Report (Developmental Disabilities Administration) | ||
11-134 | Deaf - Blind Referral Criteria Checklist for Level 4 Community Rehabilitation Program (CRP) Services (Division of Vocational Rehabilitation) | ||
27-219 | Death Notification Checklist for Medical Providers (Developmental Disabilities Administration) | ||
27-218 | Death Notification Checklist for Residential Habilitation Center (RHC) Staff (Developmental Disabilities Administration) | ||
09-693 | Declaration of Lawful Custody |
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18-433 | Declaration of Support Payments (Division of Child Support) |
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18-398B | Department of Children, Youth, and Families (DCYF) Client Overpayment Notice |
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18-700 | Direct Deposit Authorization | ||
10-351 | Disclosure of Services Required by RCW 18.20.300 | ||
11-180 | Discovery Profile Report (Developmental Disabilities Administration) | ||
27-220 | Disposition of Remains / Release of Body Permit (Developmental Disabilities Administration) | ||
16-276 | Diversion Navigator Interview (Office of Forensic Mental Health Services (OFMHS)) | ||
11-149 | Division of Vocational Rehabilitation (DVR) Customer Job Seeker Accommodation Worksheet | ||
06-162 | Division of Vocational Rehabilitation (DVR) Referral to Office of Financial Recovery Referral | ||
15-435 | Documentation of Early Support for Infants and Toddlers (ESIT) for Developmental Disabilities Administration | ||
10-353 | Documentation Request for Medical Condition and Residual Functional Capacity |
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