- These forms were developed to meet the various federal and state statutory and regulatory requirements on a Department-wide basis, as confirmed by the review of program Assistant Attorney Generals (AAG).
- The two forms provide uniformity and are valid Department-wide. CA will use the forms in place of any existing forms. Staff are to accept these forms as valid and not ask a client to complete a different DSHS form if one of these two has been properly executed.
- The Consent Form 14-012 allows programs to share information about mutual clients to coordinate service delivery.
- The Authorization Form 17-063 permits DSHS to release client records and information to a third party, including an attorney, legislator, or relative.
Neither the Department of Children, Youth, and Families (DCYF), the State of Washington nor any of its employees makes any warranty, express or implied, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, translation, product or process that is disclosed, displayed or appears on the DCYF website. For purposes of this disclaimer the term “information” includes, but is not limited to, information that is contained within any internet link that is accessible from the DCYF website.