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.

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Number Form Name(asc) File Format
10-505 Limitation Extension Task Explanation
10-504 Limitation Extension Request for Clients Under Age 21
10-506 Limitation Extension Request Checklist
10-503 Limitation Extension Evaluation
10-658 Life Skills 90-Day (Quarterly) Report (Developmental Disabilities Administration)
10-627 Liability Insurance Review (Aging and Long-Term Support Administration)
14-300 Level One Pre-Admission Screening and Resident Review (PASRR)
05-258 Level 4 Questionnaire for Supervisors Applying to Facilitate Level 4 Domestic Violence Intervention Treatment
10-705 Lake Burien Transitional Facility Specialized Treatment Referral
10-706 Lake Burien Transitional Care Facility Dedicated Review Committee (DRC) Determination (Developmental Disabilities Administration)
11-133 Jobs and Training Inventory (Division of Vocational Rehabilitation)
14-550 Job Foundation Application (Developmental Disabilities Administration)
13-927 Involuntary Antipsychotic Medication Hearing Checklist (Behavioral Health Administration)
14-473 Inventory for Client and Agency Planning (ICAP) Letter
18-464 Introduction to New Hire Reporting
14-105 Interview Appointment for Applicant (Community Services Division)
11-167 Internship: Employer Evaluation
11-168 Internship: Customer Evaluation
15-484 Intermediate Care Facilities for Individuals with Intellectual and Developmental Disabilities (ICF/IID) Survey and Revisit Skill Building Tool
14-503 Interim Assistance Reimbursement Agreement Cover
10-671 Intensive Habilitation Services for Children Certification Evaluation (Developmental Disabilities Administration)
13-917 Intensive Habilitation Services (IHS) Medical / Dental Services Authorization (Developmental Disabilities Administration)
16-264 Integrated Settings Survey: Residential Settings (Developmental Disabilities Administration)
16-265 Integrated Settings Survey: Other Settings (Developmental Disabilities Administration)
16-266 Integrated Settings Survey: Employment or Community Inclusion Settings (Developmental Disabilities Administration)