Washington State Department of Social and Health Services Forms

This Form is used for applying to become a community instructor in the DSHS Adult Education program in Washington.

This Form is used for noncustodial parents in Washington to understand their rights and responsibilities. It is available in Vietnamese.

This document provides information on the rights and responsibilities when receiving services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

This form is used for informing Hmong-speaking individuals about their rights and responsibilities when they receive services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

This Form is used for understanding your rights and responsibilities when receiving services from Washington's Aging and Long-Term Support Administration and Developmental Disabilities Administration. It is specifically translated into Marshallese.

This document provides information about your rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

This document provides information about your rights and responsibilities when receiving services from the Aging and Disability Services Administration and Developmental Disabilities Administration in Washington. It is available in Arabic.

This document provides information about your rights and responsibilities when receiving services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington state.

This document provides information about your rights and responsibilities when receiving services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

This document provides information about your rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

This Form is used to inform individuals receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington about their rights and responsibilities. It specifically provides this information in the Samoan language.

This document outlines the rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington. It is available in the Oromo language.

This document provides information about your rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington State. It is available in Serbo-Croatian language.

This document provides information about your rights and responsibilities when you receive services from the Aging and Disability Services Administration and Developmental Disabilities Administration in Washington. It is available in English and Tongan.

This document is a form for Russian-speaking individuals in Washington state to understand their rights and responsibilities when receiving services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration.

This form is used for providing information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative in the state of Washington.

This document is used for attesting to the policies and procedures of an assisted living facility in the state of Washington.

This Form is used for verifying the legal status of individuals in the state of Washington. This document is in Spanish language and is issued by the Department of Social and Health Services (DSHS).

This Form is used for creating a personal emergency plan in Washington state. It collects important information to help individuals in case of emergencies.

This Form is used for vulnerable adults in Washington to assert their rights. It is intended for use in various care facilities such as nursing homes, assisted living facilities, adult family homes, and more. The form is available in Vietnamese.

This form is used for obtaining permission to use someone's photo in a large print format. It is specific to the state of Washington, USA.

This Form is used for obtaining consent to release photos in the state of Washington.

This form is used for providing collateral information for the CCSP program in Washington state. It is a requirement for eligibility for the program.

This form is used for requesting communication updates and updates from the Washington State Department of Social and Health Services (DSHS) through the GovDelivery service.

This document is used for providing collateral information for the Community-Based Services Program (CCSP) in Washington state. It is available in Somali.

This document is a form used in Washington state for declaring collateral information for the Community First Choice Personal Care program.

This document for the Washington State Community Care Services Program (CCSP) provides financial information in Vietnamese.

This type of document is a Spanish form used for asking questions to DSHS (Department of Social and Health Services) in Washington.

This Form is used for the purpose of providing collateral information for the Washington State Community First Choice program. It is necessary for individuals applying for the program to disclose their assets and resources to determine eligibility.

This Form is used for asking questions to DSHS (Department of Social and Health Services) in Washington state.