Washington State Department of Social and Health Services Forms

This Form is used for gathering information about the characteristics of residents in assisted living facilities in Washington state.

This Form is used for creating a habilitation plan for Intensive Habilitation Services (IHS) in Washington state.

This form is used for job seekers in Washington state who need accommodation due to disabilities or other barriers. It is available in Amharic language.

This form is used for Korean-speaking job seekers in Washington who need accommodation assistance. It is a worksheet provided by the Department of Social and Health Services (DSHS).

This Form is used for job seekers in Washington state who need accommodations due to a disability. It is available in Russian.

This form is used for workplace accommodation plans for clients of DVR in Washington state.

This form is used for job seekers in Washington who need accommodations due to disabilities. It is specifically translated for Somali speakers.

This form is used for assessing the eligibility and qualifications for Independent Living (IL) services in the state of Washington.

This document provides information about the services and qualifications for Community Rehabilitation Program (CRP) in the state of Washington. It is used by the Department of Social and Health Services (DSHS).

This document is used for reporting disabilities in Washington state. It is specific to individuals who speak Persian.

This form is used for participating in the Aged, Blind, or Disabled (ABD) Program Medical Treatment in Washington state for Urdu speakers.

This document is for applying to the High School Home Care Aide Training Program and becoming an instructor in Washington state. It also includes updates for the program.

This document provides information about your rights and responsibilities when receiving services offered by the Aging and Long-Term Support Administration (ALTSA) in Washington, such as Mac or Tsoa. The document is available in French.

This Form is used for informing individuals about their rights and responsibilities when receiving services from the Mac or Tsoa offered by the Administration of Aging and Long-Term Supports in Washington.

This form is used for Integrated Settings Provider Self-assessment Residential Settings in the state of Washington.

This document is a survey form used by the Washington State Department of Social and Health Services (DSHS) to evaluate integrated settings in residential facilities.