Washington State Department of Social and Health Services Forms

This form is used for obtaining permission to share medical documents for reimbursement of health care expenses in Washington.

This form is used for requesting a reference questionnaire from the Washington State Department of Social and Health Services (DSHS). It is used to gather information about an individual's references and their suitability for a specific purpose.

This Form is used for creating an irrevocable educational trust in the state of Washington for individuals of Lao descent.

This form is used for child care verification in the state of Washington.

This form is used for verifying child care services in Washington state. The form is available in Arabic.

This document is a notice given to clients in Washington who have overpaid in their DSHS account. It is written in Farsi.

This form is used for submitting a cover letter to tribal organizations in Washington State for intake purposes.

This Form is used for a Family Participation Agreement in Washington for the Hmong community. It helps ensure the participation and cooperation of the family in receiving public assistance and support services.

This Form is used for the ICJ (Interstate Compact on Juveniles) transition checklist in Washington state. It is a document that helps facilitate the transfer of juvenile offenders between states.

This document is a form used by the Washington State Department of Social and Health Services (DSHS) for clients and providers to report and calculate overpayments related to non-SSPS (Social Services Payment System) services.

This type of document is an appointment letter in Korean for the Division of Child Support (DCS) Good Cause Determination in Washington. It is used to inform individuals about their scheduled appointment.

This document is for noncustodial parents in Washington who speak Hmong. It outlines their rights and responsibilities.

This form is used for declaring support payments in the state of Washington.

This Form is used for requesting the collection of unpaid medical expenses for uninsured individuals in Washington state.

This form is used for declaring support payments to the Division of Child Support in Washington state. It is available in Arabic language.

This Form is used for declaring support payments for child support in Washington.

This form is used for the decision-making process for DSHS/Union contracts in Washington state. It covers client service, personal service, and purchased service options.

This Form is used for providers in Washington to submit a progress report for behavior management, consultation, and training services for individuals with developmental disabilities.

This form is used for authorizing direct deposit of benefits from the Washington Department of Social and Health Services.

This Form is used for declaring support payments in Washington state, but it is in Japanese language.

This form is used for providing paternity information in Washington state. It is used to establish legal fatherhood and related parental obligations.

This Form is used for authorizing direct deposit of benefits or payments in Washington state.

This form is used for declaring support payments in Washington state, specifically for individuals who speak Lao.

This form is used for authorizing direct deposit of funds for individuals residing in Washington state. It is specifically associated with the Department of Social and Health Services (DSHS).

This Form is used for authorizing direct deposit of benefits in Washington state for Samoan residents.

This form is used for requesting income information to establish or enforce a child support order in Washington state.

This document is used for declaring and recording support payments in the state of Washington. It is available in Russian language for the convenience of Russian-speaking individuals.