Get Wa Dshs 10-114 2001-2026
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How to fill out the WA DSHS 10-114 online
The WA DSHS 10-114, also known as the Adoption Data Card, is a critical document required for adoption proceedings in the State of Washington. This guide will provide clear, step-by-step instructions on how to complete the form accurately and submit it online.
Follow the steps to complete the WA DSHS 10-114 online.
- Click the ‘Get Form’ button to obtain the form and open it in the editor for online completion.
- In Section I, provide detailed information about the child being adopted, including their place and date of birth, sex, and race. Ensure that all relevant checkboxes are completed based on the child's circumstances.
- In Section II, enter birth parent information, including year of birth, race, marital status, and the date of termination of parental rights for both the birth mother and father.
- Complete Section III with the petitioners' information. Enter the year of birth, sex, race, and marital status at the time of birth for each petitioner.
- In Section IV, describe the adoption placement information, including the agency or individual responsible for the child's placement and any prior relationships between the child and prospective adoptive parents.
- Complete Sections V and VI by providing information about the agency or individual completing the post-placement report, including their name and contact details.
- In Section VII, fill out court information as required, including the petition number, date petition filed, and the signature of the court clerk or designee.
- Review all completed sections for accuracy and completeness before proceeding. Once verified, you may save, download, print, or share the form as required.
Start filling out your WA DSHS 10-114 online today to ensure your adoption process proceeds smoothly.
The Washington State Department of Social and Health Services (WA DSHS) provides a variety of services aimed at improving the well-being of individuals and families. They manage programs related to public health, social services, and rehabilitation. By addressing issues such as mental health, child welfare, and economic assistance, WA DSHS plays a vital role in supporting communities across the state.