Washington State Department of Social and Health Services Forms

This form is used to request forms from the Washington State Department of Social and Health Services.

This document is used by the Department of Social and Health Services (DSHS) in Washington to request DSHS records. It is available in Vietnamese.

This type of document is used for recording appointments with spoken language interpreters for the Washington State Department of Social and Health Services (DSHS). It provides instructions on how to fill out Form 17-123 and schedule interpreter services.

This document is used for scheduling appointments for spoken language interpreter services in the state of Washington.

This form is used to request access to DSHS/HCA systems in the state of Washington.

This Form is used for authorizing access to SSI facilitation records in Washington.

This Form is used for authorization purposes in Washington State. It is specific to the Oromo language.

This form is used for requesting access to the Prism system for multiple organizations in the state of Washington.

This Form is used for authorizing the release of SSI facilitation records in Washington for Somali speakers.

This form is used for authorizing the release of Social Security Income (SSI) facilitation records in Washington for individuals who speak Lao.

This form is used for authorizing someone to make decisions on your behalf in the state of Washington. It is available in Samoan language.

This form is used for submitting complaints regarding approved sign language interpreters in Washington state.

This Form is used for requesting non-emergency medical transportation (NEMT) for the PASRR Program in Washington state.

This Form is used for keeping inventory records of items in companion homes in Washington.

This Form is used for requesting access to DSHS/HCA Systems in the state of Washington.

This Form is used for conducting background checks on contractor designated contacts in Washington state.

This form is used for reporting the assignment of assistive communication technology contractors in the state of Washington.

This form is used for requesting approval to subcontract in Washington state for the DSHS/DVR program.

This form is used for reviewing the physical and safety requirements of companion homes for individuals with developmental disabilities in Washington state.

This form is used for authorizing specific actions or permissions in Washington state. It is written in French.

This form is used for applying for nonassistance support enforcement services in Washington for individuals of Norwegian descent.

This form is used for applying for nonassistance support enforcement services in Washington for individuals who speak Hmong.

This document is an application form for non-assistance support enforcement services in Washington state. It is available in French.