Washington State Department of Social and Health Services Forms

This document is a request form for a hearing in the state of Washington. It is available in Punjabi language.

This form is used for authorizing a background check in Washington state for individuals who speak Burmese.

This Form is used for reporting progress on Alternative Living (AL) Services in Washington State.

This form is used for notifying the Washington State Department of Social and Health Services (DSHS) when a child's eligibility for certain services expires at the age of four. The form is available in Somali.

This form is used for notifying the Washington State Department of Social and Health Services (DSHS) about the eligibility expiration of a child who is turning four years old and is a Yupik Native.

This document is a request letter for information in French Creole, used in the state of Washington.

This document is a letter used by the Washington Department of Social and Health Services to request information from individuals who speak Haitian Creole.

This Form is used for notifying the expiration of eligibility for children who turn four years old in the state of Washington. It is written in Hindi.

This document is used for reviewing liability insurance in Washington.

This document is for creating a meaningful activity plan (MAP) for individuals in Washington state who receive services from the Department of Social and Health Services (DSHS). The MAP helps individuals develop and engage in activities that are personally fulfilling and promote independence and well-being.

This form is used for requesting skilled nursing services in a community setting in Washington. It is part of the pre-admission screening and resident review process.

This Form is used for the exchange of information related to the transition of individuals receiving residential services in Washington state.

This document is for notifying the approval of the Home and Community-Based Services (HCBS) Waiver in Washington state.

This form is used for making a referral for supported employment services in Washington for individuals who speak Ilocano.