Washington State Department of Social and Health Services Forms

This form is used for assessing the eligibility of individuals to serve as a protective payee for vulnerable individuals in the state of Washington.

This form is used for requesting information from the Washington State Department of Social and Health Services (DSHS).

This Form is used for requesting a Social Security Number (SSN) for non-work purposes in the state of Washington.

This form is used for designating an authorized representative in Washington state for matters related to the Department of Social and Health Services (DSHS).

This document is a letter used by the Washington State Department of Social and Health Services (DSHS) to request information. It is specifically for Chinese-speaking individuals.

This form is used for documenting the first use of Medicaid benefits for individuals who are part of the Developmental Disabilities Administration (DDA) program in Washington state. It is specifically available in Chinese language.

This form is used for petitioning the court to validate the voluntary consent for foster care placement of an Indian child with disabilities in Washington state.

This document is used for documenting the first use of Medicaid benefits in Washington state for individuals with developmental disabilities.

This Form is used for the Workfirst Individual Responsibility Plan in Washington state. It is available in Arabic language.

This form is used for documenting the first use of Medicaid benefits in Washington State for individuals with developmental disabilities. It is available in the Lao language.

This Form is used for introducing individuals to the Washington State Support Intensive Foster Care program.

This form is used for documenting the first use of Medicaid benefits in Washington state for individuals with Developmental Disabilities Administration (DDA). It is available in both English and Russian languages.

This type of document is used to designate an authorized representative for DSHS services in Washington state. The form is available in Korean language.

This document is used for documenting the first use of Medicaid benefits in Washington. It is available in the Somali language.

This Form is used for reporting and stopping work-related safety hazards or violations in the state of Washington.

This Form is used for designating an authorized representative in the state of Washington for individuals who speak Lao.

This document is for providing documentation about the use of Medicaid benefits in Washington state.

This document is used in Washington to record the first use of Medicaid benefits for individuals with developmental disabilities. It is available in Vietnamese.

This Form is used for applying for an Enhanced Services Facility in the state of Washington.

This Form is used for referring individuals to the Workfirst Work Experience (Wex) program in Washington state.

This document is used for the WorkFirst Word Experience (WEX) Agreement in Washington state. It is a form that outlines the agreement between the participant and the employer for on-the-job training and work experience.

This form is used to request an administrative hearing for residential care services in the state of Washington.

This Form is used for Hmong-speaking individuals in Washington participating in the Workfirst program to create an Individual Responsibility Plan.

This Form is used for summarizing psychiatric referrals in the state of Washington.

This Form is used for applying for senior citizens services in Washington state through the Department of Social and Health Services (DSHS).

This form is used for creating an Individual Responsibility Plan for WorkFirst participants in Washington. It is available in Korean language.

This form is used for non-profit organizations in Washington state to apply for reconditioned telecommunications equipment through the Office of the Deaf and Hard of Hearing.

This form is used for documenting and making decisions about the permanency planning of a child with a developmental disability in the state of Washington. It helps in determining the appropriate placement and support services for the child's well-being and future.

This form is used for making a Child Support Referral in the state of Washington through the Department of Social and Health Services (DSHS). It helps in collecting and enforcing child support payments.

This Form is used for providing notice of a hearing regarding out-of-home placement for a child with a developmental disability in the state of Washington.

This Form is used for referring veterans to the appropriate resources and services in Washington state.

This document is used for providing information about collateral in the state of Washington.

This form is used for completing a pre-admission screening and resident review addendum for individuals seeking long-term care services in Washington state.

This document is used for obtaining an order to approve continued out-of-home care for a child with a developmental disability in Washington.