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 | |
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11-106 | Pre-ETS (Pre-Employment Transition Services) Self-Advocacy Training (Division of Vocational Rehabilitation) | ||
11-112 | Pre-ETS (Pre-Employment Transition Services) Job Shadow (Division of Vocational Rehabilitation) | ||
11-110 | Pre-ETS (Pre-Employment Transition Services) Informational Interview (Division of Vocational Rehabilitation) | ||
17-229 | Pre-Admission Screening and Resident Review (PASRR) Records Request | ||
15-382 | Positive Behavior Support Plan (PBSP) | ||
10-648 | Planned Action Notice PASRR Determination Supporting Information (Pre-Admission Screening and Resident Review) (Developmental Disabilities Administration) | ||
00-399 | Phase 2 Higher Education and Workforce Training COVID-19 Requirements (Home and Community Services) | ||
00-398 | Phase 1 Higher Education and Workforce Training COVID-19 Requirements (Home and Community Services) | ||
09-280B | Petition for Modification - Administrative Order |
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10-629 | Pet Record Review (Aging and Long-Term Support Administration) | ||
11-154 | Personal Pathway | ||
17-180 | Personal Information Release (Economic Services Administration) | ||
16-205 | Personal Emergency Plan Information (Developmental Disabilities Administration (DDA)) | ||
15-291 | Person Centered Service Planning and Annual Assessment Meeting |
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15-295 | Person Centered Service Plan Meeting Survey (Developmental Disabilities Administration) | ||
27-096 | Permission to Share Documents for Reimbursement of Health Care Expenses | ||
27-053 | Paternity Information | ||
10-643 | PASRR Request for Skilled Nursing in a Community Setting (Pre-admission Screening and Resident Review) (Developmental Disabilities Administration) | ||
10-630 | Paid Feeding Assistant Program Review (Aging and Long-Term Support Administration) | ||
17-294 | Outpatient Competency Restoration Program Clinical Screening (Behavioral Health Administration) | ||
20-333 | Outpatient Competency Restoration Program (OCRP) Transition Plan (Behavioral Health Administration) | ||
13-920 | Outpatient Competency Restoration Program (OCRP) Discharge Summary | ||
27-063 | Out-of-Home Services Agreement for Youth (Age 18-21) (Developmental Disabilities Administration) | ||
10-669 | Out-of-Home Services (OHS) Transition Checklist (Developmental Disabilities Administrations) | ||
05-248 | On-Site Review (Office of Refugee and Immigrant Assistance) |