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 | File Format | |
|---|---|---|---|
| 14-541 | ABAWD Requirement: Medical Report (Able Bodied Adults without Dependents) | ||
| 17-226 | AAA DSHS / HCS Systems Access Request (Aging and Long-Term Support Administration) | ||
| 11-132 | 90 Day Review (Division of Vocational Rehabilitation) | ||
| 16-202 | 5-Day Investigation Report (Developmental Disabilities Administration (DDA) | ||
| 15-593 | 21-Day Competency Check Request (Behavioral Health Administration) | ||
| 06-191 | DPI College Financial Aid Request (Division of Program Integrity) | ||
| 11-163 | Applicant Certification and Assurances (Division of Vocational Rehabilitation) |
