Washington State Department of Social and Health Services Forms

This form is used to apply to convert a Payment Services Only (PSO) case to Full Collection Services in Washington for Marshallese residents.

This Form is used for reporting work stoppage in Washington state, available in French.

This document is an authorized representative form for Washington residents who speak Haitian Creole. It allows individuals to designate someone to act on their behalf for DSHS (Department of Social and Health Services) matters.

This form is used for notifying individuals in Washington state that their application for reapplication is missing necessary information.

This document is used for participants of the New Freedom program in Washington to agree to their responsibilities.

This form is used for requesting specific forms from the Washington State Department of Social and Health Services (DSHS). It provides instructions on how to complete the form and submit the request.

This form is used for making service requests or work orders related to induction loops for the DSHS Act Program in Washington.

This form is used for requesting induction loops for the ACT Program in Washington.

This Form is used for notifying clients in Washington about overpayment of benefits. It is available in Cambodian language.

This form is used for providing a school statement in German for students in Washington state.

This form is used for the School Statement in Washington for Hmong individuals. It is used for recording relevant information about a student's education in the Hmong language.

This Form is used for obtaining informed consent for initial opiate prescriptions in Washington state.