Washington State Department of Social and Health Services Forms

This form is used for notifying individuals in Washington about exceptions to rule decisions made by the Department of Social and Health Services. It is available in Russian language.

This form is used for authorizing automatic payments and providing information for electronic funds transfers in the state of Washington.

This form is used for noncustodial parents in Washington who want to apply for child support enforcement. It is specifically provided in Korean language.

This document is a sign-up sheet for specialty training programs offered by DDA (Developmental Disabilities Administration) in Washington state.

This Form is used for applying for Child Support Enforcement in the state of Washington for noncustodial parents.

This document is an official notice from the Washington State Department of Social and Health Services. It notifies individuals of an exception to a rule decision and is written in the Vietnamese language.

This Form is used for creating a Protective Payee Payment Plan and notifying the closure of a case in Washington for Marshallese residents.

This form is used for requesting the disclosure of address information in the state of Washington.

This form is used for reporting instances of noncooperation with chemical dependency treatment in the state of Washington.

This Form is used for preparing an assisted living facility for pre-inspection in the state of Washington. It is an attachment to DSHS Form 10-359.

This form is used for creating a resident list for assisted living facilities in Washington state.

This document is used for the Interim Assistance Reimbursement Agreement Cover in Washington state. It is available in Punjabi language.

This Form is used for authorizing certain actions or permissions in Washington state. It is available in Korean language.

This form is used for conducting interviews with contacts in assisted living facilities in the state of Washington.

This form is used for referring volunteers to provide chore services in Washington through the DSHS Volunteer Chore Service program.

This type of document is used to record environmental observations in assisted living facilities in the state of Washington.

This form is used for transmitting personal funds of residents in Washington state. It is used to ensure the safe and proper handling of residents' money.

This Form is used for a disability review in Washington for individuals of Cambodian descent.

This form is used for submitting a School Statement in the state of Washington. It is required for certain DSHS (Department of Social and Health Services) programs or benefits related to education.

This form is used for requesting a sign language interpreter in the state of Washington.

This form is used for registration as a sign language interpreter in Washington state.

This Form is used for requesting the release of personal information in the state of Washington. It is commonly used in situations where an individual needs to give consent for their personal information to be shared with a third party, such as a healthcare provider or a government agency.

This document is used for understanding and determining your responsibility to pay for the costs of care at the Residential Habilitation Center in Washington.

This form is used for authorizing the release of SSI facilitation records in the state of Washington.

This document is used for taking notes or completing a worksheet related to Assisted Living Facilities in Washington.

This type of document is used for assisted living facilities in Washington state to prepare for a resident's exit. It includes a checklist and information for transitioning to a new living situation.

This form is used for obtaining consent from youth to release their media information in Washington state.

This form is used for creating an irrevocable educational trust in the state of Washington.

This form is used for creating an Irrevocable Educational Trust in Washington State, specifically for Chinese residents. It helps individuals establish a trust fund for educational purposes that cannot be changed or revoked once it is created.

This form is used for creating an Irrevocable Educational Trust in Washington. It is available in Korean language.