Washington State Department of Social and Health Services Forms

This document is for reporting self-employment income in Washington state. It is available in the Pashto language.

This form is used for requesting reimbursement for participating in activities in Washington state.

This is a form used for training and certification for individual providers in the home and community services program in Washington state.

This form is used for recording monthly sales and expenses for self-employed individuals in Washington.

This Form is used for communicating financial information to social services in Washington State. It is required for individuals who are applying for or receiving benefits, and provides details about income, expenses, and assets.

This form is used for training and certification related to Individual Provider Planned Action Notice in Washington state's Home and Community Services. It is available in Russian language.

This form is used for participant reimbursement in the state of Washington for Somali speakers.

This form is used to receive a letter of eligibility for the Child Care Subsidy Program in Washington state. It helps determine if a family qualifies for financial assistance with child care expenses.

This Form is used for requesting an exception to the rule and providing notice of guardianship fees and related costs for the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington state.

This Form is used for making a sworn statement to the Washington Department of Social and Health Services (DSHS) about the loss, theft, or destruction of a certificate.

This form is used for vendors in Washington state to report lost, stolen, or destroyed warrants. The form is available in Somali language.

This form is used for reporting a lost, stolen, or destroyed warrant by vendors in Washington. Available in Vietnamese.

This form is used for the voluntary placement agreement for a child or youth with developmental disabilities in Washington state. It is available in the Somali language.

This Form is used for voluntarily placing a child or youth with developmental disabilities in Washington.

This Form is used for recording official actions taken in the state of Washington.

This form is used for filing a petition to modify an administrative order in Washington state. It is specifically designed for individuals who speak Lao.

This document is a petition form that individuals in Washington can use to request a modification of an administrative order. It is available in Portuguese.

This document is used for filing a petition to modify an administrative order in Washington state. It is available in Somali.

This Form is used for filing a petition to modify an administrative order in Washington state, with the option to have the form in the Serbo-Croatian language.

This document is used to file a petition for modification of an administrative order in Washington state, with a translation available in Samoan.

This Form is used for submitting a petition for modification of an administrative order in Washington state. It is written in Spanish.

This type of document is used for describing the conditions of a juvenile probation or parole order in Washington state.

This document is the DSHS Form 09-508 Waiver of Statute of Limitations specific to Washington State. It is available in Somali language for individuals to request a waiver of the statute of limitations in certain cases.

This form is used for requesting a waiver of the statute of limitations in Washington State for Ilocano speakers.