Electronic DSHS Forms

The Electronic DSHS Forms page is a centralized repository where the public can find and download official forms for Washington Department of Social and Health Services programs.

You may download some DSHS forms. These are provided only if a DSHS program requests forms to be available electronically for public use. DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. This means you can open, view, and print each form. To open, view, and print PDF forms, you need to download the free Adobe Acrobat Reader.

We do our best to ensure the links below are accurate; but, if you find a link which does not work, please contact Forms and Records Management.

Number Form Name Form File
11-110 Service Delivery Outcome Plan (SDOP): Informational Interview Pre-ETS (Pre-Employment Transition Services) (Division of Vocational Rehabilitation)
11-110A Service Delivery Outcome Plan (SDOP): Informational Interview (Division of Vocational Rehabilitation)
11-112 Service Delivery Outcome Plan: Job Shadow - Pre-ETS (Pre-Employment Transition Services) (Division of Vocational Rehabilitation)
11-112A Service Delivery Outcome Plan (SDOP) Job Shadow (Division of Vocational Rehabilitation)
11-114 Pre-ETS Student Sign-In Roster (Division of Vocational Rehabilitation)
11-118 Individualized Plan for Employment (IPE) Worksheet (Division of Vocational Rehabilitation)
11-121 Enhanced Case Management Referral Consideration (Developmental Disabilities Administration)
11-123 Service Delivery Outcome Plan: WBL - Experience A
11-124 Service Delivery Outcome Plan: WBL - Experience B
11-125 Service Delivery Outcome Plan: WBL - Experience C