Applications & Forms

A quick and easy way to apply for food and health insurance is to use the Benefit Finder. It saves you time!

Below you will find supplemental forms that you may be asked to fill out and return when applying for certain benefit programs.

Additional DSHS Forms You May Need

Income Verification Other Forms

Washington Apple Health for Pregnant Teens

There is a new insurance program for pregnant teens. To be eligible, a pregnant teen must be a Washington State resident under age 19. There is no income limit for the program. Pregnant teens in this program will be treated as an independent household and will not need to provide their parent’s income or financial information. Do not apply for pregnant teen coverage on Washington Healthplanfinder. Instead, call our Apple Health Hotline toll-free at 1-877-543-7669.

To apply, complete the paper application below.
Application for Pregnant Teen Health Care Coverage

Mail your completed application to:
Medical Eligibility Determination Services
PO Box 45531
Olympia, WA 98504-5531

WIC Nutrition Program

There is no application for WIC.