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(desc) | Form Name | File Format | |
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18-720 | Client Responsibility Notice (Home and Community Services) |
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23-045 | Community Services Division (CSD) Financial Confidence Wheel (Economic Services Division) | ||
27-155 | Declaration on Commercial Purposes | ||
27-189 | Asset Verification Authorization (Home and Community Services) | ||
27-207 | Acknowledgement Statement (Meaningful Day) (Home and Community Services) | ||
27-208 | Declaration to Adult Protective Services |