Washington State Department of Social and Health Services Forms
The Washington State Department of Social and Health Services (DSHS) is responsible for providing various social and health services to residents of Washington state. These services include assistance programs for low-income individuals and families, such as Medicaid, Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Child Protective Services. DSHS also provides healthcare services, long-term care support, mental health services, and disability services. The department's primary goal is to ensure the well-being and safety of Washington state residents and to help them achieve self-sufficiency.
Documents:
2979
This form is used for evaluating the range of joint motion in Washington state. It helps medical professionals measure and document the movement capabilities of patients' joints.
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This form is used for authorizing a background check in the state of Washington.
This document is used for requesting reimbursement for interim assistance in the state of Washington.
This form is used for requesting additional information for the ILP Tanf program in Washington state.
This form is used for filing a claim for personal property damage or loss by an employee in Washington state.
This Form is used for releasing all claims in the state of Washington.
DSHS Form 03-374B Agreement on Nondisclosure of Confidential Information " Non Employee - Washington
This Form is used for individuals in Washington state to agree on the nondisclosure of confidential information as a non-employee.
This form is used to request an administrative hearing in the state of Washington. It is available in Chinese.
This document is a Child Support Order Review Request form specific to the state of Washington. It is used to request a review of a child support order and is available in an Armenian translation.
This form is used for requesting a waiver of the statute of limitations in the state of Washington. It is available in Arabic.
This document is used to request a review of a child support order in Washington state. It is available in Cambodian language.
This Form is used for requesting an administrative hearing in Washington state regarding DSHS matters. It is available in English and Vietnamese.
This Form is used for requesting a review of a child support order in Washington state. It is available in Chinese.
This Form is used for requesting a review of a child support order in Washington State. It is available in Hmong language.
This Form is used for requesting a review of a child support order in Washington state. It is available in the Lao language.
This form is used for notifying the Washington Department of Social and Health Services (DSHS) about any changes in the adult residential care services.
This form is used for requesting a conference board with the Washington Department of Social and Health Services (DSHS).
This form is used to request a review of a child support order in the state of Washington. It is available in Punjabi.
This form is used for summarizing and providing recommendations by a Public Health Nurse (PHN) in the state of Washington.
This form is used for applying to become a temporary manager and/or receiver for nursing homes and assisted living facilities in Washington state.
This form is used for referring individuals to the Office of Financial Recovery (OFR) in Washington to seek assistance with financial matters.
This Form is used for vendors in Washington state to report a lost, stolen, or destroyed warrant.
This form is used for designating assets for Long-Term Care Partnership (LTCP) in Washington state.
This form is used for requesting a review of a child support order in Washington state. It is available in Tigrinya.
This document is used for recording funding and expenditure data in Washington state. It is a form provided by the Department of Social and Health Services (DSHS) in Washington.
This form is used for submitting an enhanced rate proposal to the Washington Department of Social and Health Services (DSHS).
This Form is used for filing an Affidavit of Forged Endorsement in the state of Washington. It is used to report cases where someone has forged your signature on a financial document or endorsement.
