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2034
![DSHS Form 15-567 "On-The-Job Facility Training Plan Application and Updates" - Washington](https://data.templateroller.com/pdf_docs_html/2104/21048/2104859/dshs-form-15-567-on-the-job-facility-training-plan-application-and-updates-washington.png "DSHS Form 15-567 "On-The-Job Facility Training Plan Application and Updates" - Washington")
![DSHS Form 15-508 "Consent and Service Agreement" - Washington](https://data.templateroller.com/pdf_docs_html/2104/21048/2104858/dshs-form-15-508-consent-and-service-agreement-washington.png "DSHS Form 15-508 "Consent and Service Agreement" - Washington")
![DSHS Form 17-295 "Residential Quality Assurance Certification Evaluation Checklist for Companion Homes Providers" - Washington](https://data.templateroller.com/pdf_docs_html/2104/21048/2104861/dshs-form-17-295-residential-quality-assurance-certification-evaluation-checklist-for-companion-homes-providers-washington.png "DSHS Form 17-295 "Residential Quality Assurance Certification Evaluation Checklist for Companion Homes Providers" - Washington")
![DSHS Form 09-415 "Authorization for Expenditure (Non-employee)" - Washington](https://data.templateroller.com/pdf_docs_html/2104/21048/2104855/dshs-form-09-415-authorization-for-expenditure-non-employee-washington.png "DSHS Form 09-415 "Authorization for Expenditure (Non-employee)" - Washington")
![DSHS Formulario 09-415 "Autorizacion Para Gastos (No Empleado)" - Washington (Spanish)](https://data.templateroller.com/pdf_docs_html/2104/21048/2104856/dshs-formulario-09-415-autorizacion-para-gastos-no-empleado-washington-spanish.png "DSHS Formulario 09-415 "Autorizacion Para Gastos (No Empleado)" - Washington (Spanish)")
![DSHS Form 15-564 "Residential Quarterly Report for Children's Residential Services" - Washington](https://data.templateroller.com/pdf_docs_html/2092/20923/2092374/dshs-form-15-564-residential-quarterly-report-for-children-s-residential-services-washington.png "DSHS Form 15-564 "Residential Quarterly Report for Children's Residential Services" - Washington")
![DSHS Form 16-245 "Skills Practice Procedure Checklist for Home Care Aides Dshs Approved" - Washington (Lao)](https://data.templateroller.com/pdf_docs_html/2104/21048/2104860/dshs-form-16-245-skills-practice-procedure-checklist-for-home-care-aides-dshs-approved-washington-lao.png "DSHS Form 16-245 "Skills Practice Procedure Checklist for Home Care Aides Dshs Approved" - Washington (Lao)")
![DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Lao)](https://data.templateroller.com/pdf_docs_html/2069/20695/2069548/dshs-form-14-001-application-for-cash-or-food-assistance-washington-lao.png "DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Lao)")
![DSHS Form 18-627 "State Supplementary / Direct Payment Client Overpayment Notice" - Washington (Korean)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089738/dshs-form-18-627-state-supplementary-direct-payment-client-overpayment-notice-washington-korean.png "DSHS Form 18-627 "State Supplementary / Direct Payment Client Overpayment Notice" - Washington (Korean)")
![DSHS Form 18-627 "State Supplementary / Direct Payment Client Overpayment Notice" - Washington (Lao)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089740/dshs-form-18-627-state-supplementary-direct-payment-client-overpayment-notice-washington-lao.png "DSHS Form 18-627 "State Supplementary / Direct Payment Client Overpayment Notice" - Washington (Lao)")
![DSHS Form 17-231 "Mental Incapacity Evaluation (Mie) Contractor Travel Plan" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089735/dshs-form-17-231-mental-incapacity-evaluation-mie-contractor-travel-plan-washington.png "DSHS Form 17-231 "Mental Incapacity Evaluation (Mie) Contractor Travel Plan" - Washington")
![DSHS Formulario 18-627 "Pago Complementario/Directo Del Estado Notificacion De Pago Adicional Al Cliente" - Washington (Spanish)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089739/dshs-formulario-18-627-pago-complementario-directo-del-estado-notificacion-de-pago-adicional-al-cliente-washington-spanish.png "DSHS Formulario 18-627 "Pago Complementario/Directo Del Estado Notificacion De Pago Adicional Al Cliente" - Washington (Spanish)")
![DSHS Form 17-297 "Removal and Transport Directive (Behavioral Health Administration)" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089734/dshs-form-17-297-removal-and-transport-directive-behavioral-health-administration-washington.png "DSHS Form 17-297 "Removal and Transport Directive (Behavioral Health Administration)" - Washington")
![DSHS Form 17-226 "Aaa Dshs / Hca Systems Access Request" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089730/dshs-form-17-226-aaa-dshs-hca-systems-access-request-washington.png "DSHS Form 17-226 "Aaa Dshs / Hca Systems Access Request" - Washington")
![DSHS Form 18-627 "Ssp Client Overpayment Notice (State Supplementary Program)" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089737/dshs-form-18-627-ssp-client-overpayment-notice-state-supplementary-program-washington.png "DSHS Form 18-627 "Ssp Client Overpayment Notice (State Supplementary Program)" - Washington")
![DSHS Form 17-296 "Residential Quality Assurance Certification Evaluation Checklist for Alternative Living Providers (Developmental Disabilities Administration)" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089732/dshs-form-17-296-residential-quality-assurance-certification-evaluation-checklist-for-alternative-living-providers-developmental-disabilities-administration-washington.png "DSHS Form 17-296 "Residential Quality Assurance Certification Evaluation Checklist for Alternative Living Providers (Developmental Disabilities Administration)" - Washington")
![DSHS Form 14-439 "Washington State Combined Application Program (Washcap) Application" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089716/dshs-form-14-439-washington-state-combined-application-program-washcap-application-washington.png "DSHS Form 14-439 "Washington State Combined Application Program (Washcap) Application" - Washington")
![DSHS Form 14-416 "Eligibility Review for Long Term Services and Supports" - Washington (Korean)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089715/dshs-form-14-416-eligibility-review-for-long-term-services-and-supports-washington-korean.png "DSHS Form 14-416 "Eligibility Review for Long Term Services and Supports" - Washington (Korean)")
![DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Japanese)](https://data.templateroller.com/pdf_docs_html/2089/20896/2089690/dshs-form-14-001-application-for-cash-or-food-assistance-washington-japanese.png "DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Japanese)")
DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Japanese)
Size: 417 KB
6 pages
![DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Burmese)](https://data.templateroller.com/pdf_docs_html/2089/20896/2089684/dshs-form-14-001-application-for-cash-or-food-assistance-washington-burmese.png "DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Burmese)")
DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Burmese)
Size: 393 KB
6 pages
![DSHS Form 10-649 "Children's State Operated Living Alternatives (Sola) Certificationevaluation" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20896/2089680/dshs-form-10-649-children-s-state-operated-living-alternatives-sola-certificationevaluation-washington.png "DSHS Form 10-649 "Children's State Operated Living Alternatives (Sola) Certificationevaluation" - Washington")
![DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Chinese)](https://data.templateroller.com/pdf_docs_html/2089/20896/2089683/dshs-form-14-001-application-for-cash-or-food-assistance-washington-chinese.png "DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Chinese)")
DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Chinese)
Size: 380 KB
6 pages
![DSHS Form 10-639 "Overnight Planned Respite Services (Oprs) Certification Evaluation" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20896/2089678/dshs-form-10-639-overnight-planned-respite-services-oprs-certification-evaluation-washington.png "DSHS Form 10-639 "Overnight Planned Respite Services (Oprs) Certification Evaluation" - Washington")
![DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20896/2089682/dshs-form-14-001-application-for-cash-or-food-assistance-washington.png "DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington")
![DSHS Formulario 14-001 "Solicitud De Asistencia Alimenticia O De Dinero En Efectivo" - Washington (Spanish)](https://data.templateroller.com/pdf_docs_html/2089/20896/2089686/dshs-formulario-14-001-solicitud-de-asistencia-alimenticia-o-de-dinero-en-efectivo-washington-spanish.png "DSHS Formulario 14-001 "Solicitud De Asistencia Alimenticia O De Dinero En Efectivo" - Washington (Spanish)")
![DSHS Form 13-919 "Weekly Status Update" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20896/2089681/dshs-form-13-919-weekly-status-update-washington.png "DSHS Form 13-919 "Weekly Status Update" - Washington")
![DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Korean)](https://data.templateroller.com/pdf_docs_html/2091/20918/2091809/dshs-form-14-001-application-for-cash-or-food-assistance-washington-korean.png "DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Korean)")
DSHS Form 14-001 "Application for Cash or Food Assistance" - Washington (Korean)
Size: 506 KB
6 pages
![DSHS Formulario 14-078 "Revision De Elegibilidad" - Washington (Spanish)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089702/dshs-formulario-14-078-revision-de-elegibilidad-washington-spanish.png "DSHS Formulario 14-078 "Revision De Elegibilidad" - Washington (Spanish)")
![DSHS Form 14-078 "Eligibility Review" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20896/2089699/dshs-form-14-078-eligibility-review-washington.png "DSHS Form 14-078 "Eligibility Review" - Washington")
![DSHS Form 15-388 "Alternative Living Certification Evaluation" - Washington](https://data.templateroller.com/pdf_docs_html/2091/20918/2091810/dshs-form-15-388-alternative-living-certification-evaluation-washington.png "DSHS Form 15-388 "Alternative Living Certification Evaluation" - Washington")
![DSHS Form 14-416 "Eligibility Review for Long Term Services and Supports" - Washington (Lao)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089713/dshs-form-14-416-eligibility-review-for-long-term-services-and-supports-washington-lao.png "DSHS Form 14-416 "Eligibility Review for Long Term Services and Supports" - Washington (Lao)")
![DSHS Form 09-995 "Companion Home Certification Evaluation" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20896/2089673/dshs-form-09-995-companion-home-certification-evaluation-washington.png "DSHS Form 09-995 "Companion Home Certification Evaluation" - Washington")
![DSHS Formulario 14-416 "Revision De Elegibilidad Para Servicios Y Apoyos a Largo Plazo" - Washington (Spanish)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089714/dshs-formulario-14-416-revision-de-elegibilidad-para-servicios-y-apoyos-a-largo-plazo-washington-spanish.png "DSHS Formulario 14-416 "Revision De Elegibilidad Para Servicios Y Apoyos a Largo Plazo" - Washington (Spanish)")
![DSHS Form 14-416 "Eligibility Review for Long Term Services and Supports" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089712/dshs-form-14-416-eligibility-review-for-long-term-services-and-supports-washington.png "DSHS Form 14-416 "Eligibility Review for Long Term Services and Supports" - Washington")
![DSHS Form 15-508 "Consent and Service Agreement (Developmental Disabilities Administration)" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089725/dshs-form-15-508-consent-and-service-agreement-developmental-disabilities-administration-washington.png "DSHS Form 15-508 "Consent and Service Agreement (Developmental Disabilities Administration)" - Washington")
![DSHS Form 15-304 "Hcbs Waiver Enrollment Database Update (Developmental Disabilities Administration)" - Washington (Haitian Creole)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089721/dshs-form-15-304-hcbs-waiver-enrollment-database-update-developmental-disabilities-administration-washington-haitian-creole.png "DSHS Form 15-304 "Hcbs Waiver Enrollment Database Update (Developmental Disabilities Administration)" - Washington (Haitian Creole)")
![DSHS Form 14-520 "Your Dshs Cash or Food Assistance Benefits" - Washington (Haitian Creole)](https://data.templateroller.com/pdf_docs_html/2089/20897/2089718/dshs-form-14-520-your-dshs-cash-or-food-assistance-benefits-washington-haitian-creole.png "DSHS Form 14-520 "Your Dshs Cash or Food Assistance Benefits" - Washington (Haitian Creole)")
![DSHS Form 14-520 "Your Dshs Cash or Food Assistance Benefits" - Washington](https://data.templateroller.com/pdf_docs_html/2089/20897/2089717/dshs-form-14-520-your-dshs-cash-or-food-assistance-benefits-washington.png "DSHS Form 14-520 "Your Dshs Cash or Food Assistance Benefits" - Washington")
![DSHS Form 13-021 "Physical Functional Evaluation" - Washington](https://data.templateroller.com/pdf_docs_html/2091/20918/2091807/dshs-form-13-021-physical-functional-evaluation-washington.png "DSHS Form 13-021 "Physical Functional Evaluation" - Washington")
![DSHS Formulario 07-103 "Reembolso Para Participantes" - Washington (Spanish)](https://data.templateroller.com/pdf_docs_html/2089/20896/2089670/dshs-formulario-07-103-reembolso-para-participantes-washington-spanish.png "DSHS Formulario 07-103 "Reembolso Para Participantes" - Washington (Spanish)")
