Washington State Department of Social and Health Services Forms

This Form is used for requesting a modification to an administrative order in Washington state. It is specifically available in Thai language.

This Form is used for requesting a hearing in Washington state for issues related to the Cambodian community.

This form is used for applying for a contract to operate a licensed boarding home in Washington state through the Department of Social and Health Services (DSHS).

This Form is used for requesting a hearing in Washington state regarding DSHS (Department of Social and Health Services) matters. The form is available in Chinese.

This type of document is a petition for modification of an administrative order in Washington. It is available in Tigrinya language. It is used for requesting changes to an existing administrative order, such as child support or custody arrangements.

This form is used for requesting an extension on limitations for clients under the age of 21 in Washington State.

This Form is used for requesting a hearing in Washington state. It is available in Farsi language.

This form is used for employers to report expenses related to vocational rehabilitation services provided to individuals with disabilities in the state of Washington.

This document is used for filing a continuation of a protective payee report in the state of Washington.

This document is a request for a hearing form in Washington State for individuals who speak Japanese. It is used to request a hearing with the Department of Social and Health Services (DSHS) in order to address a specific issue or dispute.

This Form is used for filing a petition to modify an administrative order in the state of Washington for individuals who speak Trukese.

This form is used for requesting a hearing with the Department of Social and Health Services (DSHS) in Washington state. It is available in Korean.

This Form is used for evaluating interns participating in the Customer Internship Program in Washington state.

This form is used for requesting an extension on a limitation for a task related to the Department of Social and Health Services in Washington state.

This form is used for Centers for Independent Living (CILs) in Washington to report on their annual contract with Title VII, Part B. It provides information on the activities and services provided by the CILs.

This form is used for transmitting client funds from the protective payee in the state of Washington.

This document is a monthly report used by Centers for Independent Living in Washington to report their activities and expenses under Title VII, Part B.

This form is used for contracted employees to provide independent living services and services approved by the Washington Department of Social and Health Services.

This Form is used for withdrawing an administrative hearing request with the Washington State Department of Social and Health Services (DSHS).

This document provides important information for recipients and payees of the State Supplemental Payment (SSP) program in Washington.

This document is used for withdrawal requests for administrative hearings in Washington state regarding Cambodian individuals.

This document is used for withdrawing an administrative hearing in Washington state, specifically for Chinese speakers.

This document is used for withdrawing a request for an administrative hearing in Washington State related to DSHS (Department of Social and Health Services) matters.

This document is a checklist used in Washington state for requesting an extension on the limitation period in a legal proceeding involving individuals of Cambodian descent.

This form is used for withdrawing a request for an administrative hearing in Washington state.

This form is used for withdrawing an administrative hearing request in Washington State.

This form is used for applying for disaster cash assistance in the state of Washington.

This Form is used for Adult Family Home disclosure of services required by RCW 70.128.280 in Washington.

This Form is used for pediatric symptom checklist in Washington state.

This document is used by DSHS in Washington to collect information about collateral from Trukese individuals.

This document is a form used for withdrawing an administrative hearing in Washington state. It is available in Vietnamese.

This Form is used for applying for disaster cash assistance in Washington state, specifically for individuals who are fluent in Korean.

This form is used for submitting a statement from a school in Washington state. It may be required by the Department of Social and Health Services (DSHS) for various purposes such as eligibility for assistance programs.