Department of Social and Health Services

Official Website: https://www.dshs.wa.gov/

Forms & Documents

Browse all Department of Social and Health Services government forms

21 - 40 of 142 forms

Form Title Topics
Authorization to Disclose Personal Information
Authorization to Disclose Personal Information Spanish
Authorization to Release Information (form 17-063)
Automatic Payment Authorization and Electronic Funds Transfer Information
Background Authorization - ESA (form 09-653.)
Background Check Authorization Form with Instructions (DSHS 09-653)
Background Check Authorization Form with Instructions (DSHS 09-653) Cambodian (Khmer)
Background Check Authorization Form with Instructions (DSHS 09-653) Chinese
Background Check Authorization Form with Instructions (DSHS 09-653) Korean
Background Check Authorization Form with Instructions (DSHS 09-653) Laotian
Background Check Authorization Form with Instructions (DSHS 09-653) Punjabi
Background Check Authorization Form with Instructions (DSHS 09-653) Russian
Background Check Authorization Form with Instructions (DSHS 09-653) Somali
Background Check Authorization Form with Instructions (DSHS 09-653) Spanish
Background Check Authorization Form with Instructions (DSHS 09-653) Vietnamese
Background Check Identification Verification
Cambodian - Application for Benefits form
Caregiving Experience Attestation (CEA) Form
Certification that Research Records Have Been De-Identified
Change of Circumstances (form 14-076)

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