Washington State Department of Social and Health Services Forms

This Form is used for tenants in Washington to provide a statement from their Tongan landlord/manager.

This form is used for acknowledging services provided in Washington to individuals who speak Mien.

This form is used for acknowledging services provided in Washington state, specifically for the Samoan community.

This document is an IT Acknowledgement of Services form used by the Department of Social and Health Services (DSHS) in Washington state. It is written in Italian.

This document is a form used by the Washington State Department of Social and Health Services (DSHS) for conducting a protective payee assessment specifically for Cambodian individuals. The assessment helps determine the need for a payee to manage financial benefits for someone who may be unable to do so themselves.

This document is a form used by the Washington State Department of Social and Health Services (DSHS) for the assessment of a protective payee for Somali-speaking individuals.

Este formulario se utiliza para solicitar equipo de telecomunicaciones en el estado de Washington.

This document is an application form for individuals in Washington state to apply for telecommunications equipment through the DSHS (Department of Social and Health Services).

This Form is used for creating a Workfirst Individual Responsibility Plan in Tamil language for residents of Washington state.

This Form is used for enrolling in direct deposit for cash assistance in Washington (Cambodian).

This form is used for enrolling in the cash assistance direct deposit program in Washington state. It is specifically available in the Lao language.

This document provides a way for Korean-speaking residents of Washington to enroll in direct deposit for cash assistance from DSHS.

This document is used for enrolling in direct deposit for cash assistance in the state of Washington. It is available in Russian.

This Form is used for the Requirement to Identify a Representative in Washington's Developmental Disabilities Administration for Chinese-speaking individuals.

This Form is used for identifying a representative for individuals with developmental disabilities in Washington state.

This document provides information about your rights in Washington state, specifically for the Hmong community. It is a form from DSHS (Department of Social and Health Services) that is used to educate and inform individuals about their rights.

This form is used for understanding your rights in Washington state, specifically for Mien speakers. It provides information regarding DSHS benefits and services.

This form is used for disability review in Washington state for individuals who speak Tigrinya.

This Form is used for the Person Centered Service Planning and Annual Assessment Meeting in Washington state, specifically for Somali-speaking individuals.

This form is used for the Person Centered Service Planning and Annual Assessment Meeting in Washington State. It is available in Russian language.

This document is a form used by the Washington Department of Social and Health Services (DSHS) for the observation of skin protocols. It is written in Spanish.

This form is used for creating a support plan for positive behaviors in Washington state.

This type of document is a Spanish form used for demonstrating the transformation of Medicaid and notifying the service provider in Washington.

This document is used for creating an individual financial plan for companion home clients in Washington state.

This form is used for noncustodial parents in Washington (Trukese) to understand their rights and responsibilities.

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

This form is a guide to help individuals understand their rights and responsibilities when receiving services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington State. The form is available in Chinese.

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 provide 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. It is available in Armenian language.

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

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 is available in Somali language.

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

This Form is used for informing individuals about their rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington. It is available in Tigrinya language.