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
27-219 Death Notification Checklist for Medical Providers (Developmental Disabilities Administration)
27-220 Disposition of Remains / Release of Body Permit (Developmental Disabilities Administration)
27-222 Consent to Release and/or Use Confidential Information for Completing an Adult Home License Application
27-223 Adult Family Home Policies and Procedures Attestation
27-226 Adult Family Home Management Agreement: Attestation Information and Attachments (Residential Care Services)
27-228 CCLS Additional Delegated Authority Request
27-229 CCLS Sole Source Amendment Justification
27-230 Central Contracts and Legal Services (CCLS) Emergency Contract Justification
27-231 Central Contracts and Legal Services (CCLS) Source Contract Justification
27-232 Central Contracts and Legal Services (CCLS) Department of Enterprise Services (DES) Late Filing Justification