Washington State Department of Social and Health Services Forms

This Form is used for applying for Disaster Cash Assistance in Washington state for individuals who speak Lao.

This form is used for notifying the Washington State Department of Social and Health Services (DSHS) about a request to disclose an individual's address.

This form is used for identity verification during background checks in Washington state.

This document is a statement from a school in Washington state, specifically for Cambodian individuals. It is used for providing information or verifying education-related details of the student.

This form is used for obtaining a statement from a school in Washington state. It is written in Chinese.

This document is used for submitting a statement from a school to the Washington State Department of Social and Health Services. It is in Korean.

This Form is used for tracking the temporary employment hours in Washington state.

This Form is used for notifying the Department of Social and Health Services in Washington of a request to disclose your address information.

This document is used for landlords or property managers in Washington to provide a statement in Amharic language.

This form is used for the mid-certification review process in Washington State. It requires individuals to provide a statement of understanding about their ongoing eligibility for benefits through the Department of Social and Health Services (DSHS).

This form is used for landlords or managers in Washington to provide a statement in Chinese.

This document is used to provide a Notice to Parents in Washington State in Chinese. It helps parents understand important information related to services provided by DSHS.

This Form is used for logging injuries and accidents in adult family homes in Washington state.

This form is used for landlords or property managers in the state of Washington to provide a statement or information related to a housing situation.

This form is used for reporting workplace readiness in the state of Washington. It is used to assess the skills and abilities of individuals for employment purposes.

This Form is used for disability assessment in Washington state.

This document is for tenants in Washington who need a statement from their landlord or manager. It is used for specific situations involving housing or rental agreements.

This form is used for authorizing medical and dental services for individuals in voluntary placement services managed by the Developmental Disabilities Administration in Washington state.

This form is used for creating an Individualized Plan for Employment (IPE) in Washington's Division of Vocational Rehabilitation (DSHS). It is a worksheet that helps develop a plan specific to an individual's employment goals and needs.

This form is used for estimating the costs of hearing aids and services in Washington state.

This Form is used for obtaining consent for delegation process in Washington for nurses from the Chinese community.

This form is used for obtaining consent for the nurse delegation process in Washington. It is specifically provided in Korean.

This document is used for obtaining consent for nurse delegation in Washington (Lao).

This Form is used to apply for converting a Payment Services Only (PSO) case to Full Collection Services in Washington for Japanese residents.

This Form is used for consenting to the nurse delegation process in Washington for Russian-speaking individuals.

This document is used for nurse delegation consent in Washington, specifically for Somali speakers.

This document is a consent form used in Washington, D.C. for the delegation of nursing care. It is written in Spanish.

This Form is used for referral of work experience (Wex) for the Food Stamp Employment and Training program in Washington state.

This form is used for obtaining consent for the nurse delegation process in Washington state. It is available in Vietnamese.

This form is used for documenting the work experience agreement for participants in the Food Stamp Employment and Training program in Washington state.