Washington State Department of Social and Health Services Forms

This form is used for the family participation agreement in Washington state and is available in Tagalog language.

This Form is used for filing a court report in Washington State in the Burmese language. It is specific to the Department of Social and Health Services (DSHS) in Washington.

This Form is used for getting permission to share documents for reimbursement of health care expenses in Washington state.

This form is used for applicants in Washington to request a copy of their background check results from DSHS (Department of Social and Health Services).

This form is used for authorizing an alternate EBT cardholder in Washington for Somali speakers.

This form is used for obtaining a property release agreement for housing modifications in the state of Washington.

This form is used to declare single parent status for the Child Care Subsidy Programs in Washington.

This form is used for declaring commercial purposes in the state of Washington.

This document is for Portuguese-speaking single parents in Washington who want to apply for the Child Care Subsidy Programs.

This form is used for declaring single parent status for the Child Care Subsidy Programs (CCSP) in Washington state. It is available in French.

This type of document is used to authorize the disclosure of information for economic services administration in Washington specifically for individuals of Cambodian descent.

This form is used for the Child Care Subsidy Programs (Ccsp) Single Parent Declaration in Washington state for Lao language.

This form is used for authorizing the disclosure of information by the Economic Services Administration in Washington state.

This Form is used for authorizing the disclosure of personal information to the Economic Services Administration in Washington, specifically for Korean language speakers.

This Form is used for single parents in Washington State to apply for the Child Care Subsidy Program.

This Form is used for authorization to disclose information in Washington state through the DSHS Form 27-168. It is written in Spanish for Spanish-speaking residents.

This form is used for authorizing the disclosure of information related to economic services administration in Washington. It is available in Vietnamese.

This form is used for declaring single parent status for the Child Care Subsidy Programs in Washington.

This Form is used for providing additional contractor information for the Washington State Department of Social and Health Services (DSHS) Disabled Veteran Business Enterprise (DVBE) Program.

This form is used for authorizing the disclosure of personal information by the Department of Social and Health Services (DSHS) in Washington. The form is available in both English and Chinese.

This Form is used for individuals seeking to become contractors for providing home and community-based services in Washington state.

This form is used for authorizing the disclosure of personal information in Washington state. It is available in both English and Russian.

This form is used for single parents in Washington to declare their eligibility for the Child Care Subsidy Programs. It is available in Somali.

This Form is used for authorizing the disclosure of information in Washington state. It is available in both English and Somali languages.

This Form is used for Disability Eligibility Review Contractor Self-assessment Monitoring in the state of Washington.

This Form is used for individuals in Washington to authorize the disclosure of their personal information by the Department of Social and Health Services (DSHS).

This Form is used for reporting workfare activities for Cambodian individuals receiving basic food assistance in Washington state.

This document for Spanish-speaking clients of DSHS in Washington state provides information on privacy practices for medical information.

This form is used for self-employed individuals in Washington to report their monthly sales and expenses. It is available in Portuguese.

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

This Form is used for a Voluntary Placement Agreement for a child or youth with developmental disabilities in Washington State, specifically for Cambodian families. It outlines the terms and conditions of the placement and the responsibilities of both the family and the Washington State Department of Social and Health Services (DSHS).

This document is a Spanish version of the DSHS Form 09-508 SP Exemption From the Prescription Law in Washington. It is used for applying for exemption from the prescription law.

This form is used for authorizing a background check in Washington state specifically for individuals of Samoan descent.