Washington State Department of Social and Health Services Forms

This Form is used for applying for Supported Employment Services in Washington state. This document is available in Persian language.

This form is used for scheduling an appointment with the Division of Child Support (DCS) in Washington State to discuss a Good Cause Determination for child support issues. It is available in Persian language.

This Form is used for providing personal emergency plan information for residents of Washington who speak Somali.

This document is a checklist of practice procedures for home care assistants approved by DSHS in Washington state. It is used to ensure proper skills are practiced and performed by home care assistants.

This document provides information about the rights and responsibilities of individuals who receive Mac or Tsoa services offered by Aging and Long-Term Support Administration in Washington.

This document provides examples of medical expenses that can be claimed in Washington state for DSHS Form 17-301. It helps individuals understand what types of medical expenses qualify for assistance.

This document is a letter in Korean language used by the Department of Social and Health Services in Washington state. It is used to inform individuals about the release of their address information.

This form is used for verifying child care in Washington state. It is available in Burmese language for convenience.

This form is used for filing a discrimination complaint in the state of Washington.

This form is used for filing a discrimination complaint in Washington State related to DSHS services. It is specifically designed for individuals who speak Lao.

This form is used to file a discrimination complaint with the Washington State Department of Social and Health Services (DSHS). It is specifically designed for individuals who speak Somali.

This form is used for filing a complaint regarding discrimination in Washington state.

This form is used for filing a discrimination complaint related to the Basic Food Program in Washington state. The form is available in Arabic.

This Form is used for requesting authorization for oxygen and respiratory services in the state of Washington through the Department of Social and Health Services (DSHS).

This form is used for requesting Tysabri (Natalizumab) medication in the state of Washington.

This document is used for verifying the certification and assurances of an applicant in Washington for a specific program.

This Form is used for withdrawing a request for an administrative hearing in Washington for Arabic-speaking individuals.

This form is used for requesting ICF/IID or NF services at an RHC admission application in Washington.

This Form is used for applying to the Customer Internship Program in Washington through the DSHS. It is available in Arabic.

This document is an internship application form for the Customer Internship Program in Washington state. It specifically caters to the Lao language-speaking individuals.