Washington State Department of Social and Health Services Forms

This form is used for noncustodial parents in Washington to understand and acknowledge their rights and responsibilities. It is available in Tagalog.

This document provides information in Punjabi language about your rights and responsibilities when receiving services from the Aging and Disability Services Administration and Developmental Disabilities Administration in Washington state.

This document provides information about your rights and responsibilities when you receive services offered by the Aging and Disability Services Administration and the Developmental Disabilities Administration in Washington state. It is available in Swahili.

This Form is used for informing people about their rights and responsibilities when receiving services from Aging and Disability Services Administration and Developmental Disabilities Administration in Washington state.

This form is used for noncustodial parents in Washington to understand their rights and responsibilities. It is available in Urdu language.

This form is used to inform individuals about their rights and responsibilities when receiving services from the Aging and Disability Services Administration and Developmental Disabilities Administration in Washington. The document is available in Kurdish language.

This document provides information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative in Washington state for Cambodian individuals.

This Form is used for Individual Providers in Washington to receive a Stop Work Notice from DSHS.

This form is used for providing information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative in Washington state.

This form is used for providing information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative in Washington. This document is specifically translated into Somali.

This Form is used for Individual Providers in Washington to receive a Stop Work Notice. It is available in Chinese.

This form is used to provide information about your role as the identified representative for necessary supplemental facilities (NSAs) in Washington.

This Form is used to provide information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative in Washington state.

This form is used for notifying individual providers in Washington State (Cambodian language) about the issuance of a stop work notice.

This form is used to provide information about your role as the identified necessary supplemental accommodation representative in Washington for Vietnamese speakers.

This document provides information to individuals in Washington who have been designated as the Identified Necessary Supplemental Accommodation (NSA) representative. The form is available in Korean.

This document is used for providing a Stop Work Notice to individual providers in Washington who speak Korean.

This Form is used for Individual Providers in the state of Washington to receive a notification and stop work notice.

This Form is used for notifying individual providers in Washington state about important information related to their services. (Spanish)

This form is used for individual providers in Washington to receive a stop work notice from the Department of Social and Health Services. The form is in Farsi language.

This document is for Individual Providers in Washington state who have received a Stop Work Notice. It provides notification and instructions in Russian language.

This form is used for verifying the legal status of individuals in the state of Washington, specifically those of Cambodian nationality.

This form is used for verifying legal status in Washington state, and it is available in Chinese.

This document is for verifying legal status in Washington State. It is written in Vietnamese.

This form is used for verifying the legal status of individuals in Washington. It is available in Korean.

This document is used for verifying legal status in Washington state for individuals who speak Russian.

This Form is used for providing personal emergency plan information in Washington for Cambodian residents.

This document is a Chinese version of the DSHS Form 16-205 Personal Emergency Plan Information used in Washington. It is used to provide personal emergency planning information.

This form is used for providing personal emergency plan information in Washington for Vietnamese speakers.

This document is a personal emergency plan information form in Korean for residents of Washington state.

This form is used to verify legal status in the state of Washington for Lao individuals.

This form is used for providing personal emergency plan information in Washington state for Lao residents.

This Form is used for vulnerable adults to declare their rights in long-term care facilities in Washington.

This Form is used for providing information about your role as the Identified Necessary Supplemental Accommodation (NSA) Representative in Washington State.

This document is a notification form for individual providers in Washington state. It is specifically for Vietnamese speakers and contains information about a stop work notice.

This Form is used for providing personal emergency plan information in the state of Washington. It is available in Russian language.

This document is a form used by the Washington State Department of Social and Health Services (DSHS) for requesting assistance or asking questions. It is available in Chinese language.

This form is used for requesting communication from DDA GovDelivery in Washington state.