Washington State Department of Social and Health Services Forms

This Form is used for establishing a plan for the ongoing care and support of a child with developmental disabilities in Washington state. It includes conclusions and orders related to the child's permanency plan.

This document is for requesting Children's Residential Services in Washington State, but it is in Russian.

This document is used to notify families in Washington (Somali) that their child's eligibility for certain services will expire at age four.

This form is used to notify the Washington State Department of Social and Health Services (DSHS) of the expiration of ten (10) year old age eligibility for certain programs. This document specifically applies to the Lao community in Washington.

This document is a request letter used by the Washington Department of Social and Health Services (DSHS) to gather information from individuals who speak the Oromo language.

This document is a request letter for information, specifically for the Punjabi-speaking community, in the state of Washington.

This Form is used for providing consent for the release of confidential health information in the state of Washington. It is available in Chinese.

This document is used for giving consent to share confidential health information in Korean language in the state of Washington.

This form is used for the consent agreement to share confidential health information in Washington (Lao).

This document is a checklist for requesting an extension of the limitation period for Somali individuals in Washington State. It is used by the Department of Social and Health Services (DSHS).

This Form is used for conducting a comprehensive assessment of an individual's functioning in recreational activities in the state of Washington. It helps determine the level of support and accommodations needed for the individual's participation in recreational programs and activities.

This document is used for conducting observations and interviews related to food service in group training homes in Washington state.

This Form is used for providing vocational information specific to the Cambodian community in Washington state.

This form is used for the purpose of maintaining a Jobs and Training Inventory in Washington state, specifically for Chinese-speaking individuals.

This form is used for submitting a referral for supported employment services in Washington State. It is available in Somali language.

This Form is used for applying for disaster food benefits in Washington for Somali speakers.

This form is used for applying for disaster food benefits in Washington state for Russian-speaking individuals.

This form is used for obtaining consent in the Albanian language for DSHS services in Washington.

This form is used for obtaining consent in healthcare situations. It is specifically available in Haitian Creole language for residents of Washington state.

This Form is used for obtaining consent in the state of Washington (Karen).

This form is used for obtaining consent from individuals in Washington who speak Lithuanian. It is specific to the Department of Social and Health Services (DSHS) in Washington state.

This document is a consent form used in Washington state for individuals who speak the Mandinka language. It is used to provide consent for a specific purpose.

This Form is used for providing a statement regarding health, education, and employment in Washington state for individuals who speak Lao language.

This document is used for submitting a financial statement to the Division of Vocational Rehabilitation in Washington for Chinese residents.

This document for scheduling interview appointments for applicants of the Community Services Division in Washington.

This document is used to schedule an interview appointment for applicants applying for community services division in Washington state.

This type of document is an interview appointment form for applicants to the Department of Social and Health Services (DSHS) in Washington State. It is available in Arabic language.

This type of document is used for making a medical disability decision in Washington. It is available in Somali language.