Caregivers who don’t use direct deposit must complete and submit a provider registration form by May 1, 2026.
You have two options for submitting the forms:
- E-sign forms using Docusign (fastest method)
- Print and sign, then email forms to ProviderFileUnit@dshs.wa.gov
Additionally, the direct deposit forms listed on the SSPS Main Menu with the revised date of Oct. 17, 2023, are outdated, and OFM will stop accepting them at the end of this year. Ensure you are using the forms directly from the OFM website for secure electronic submission via DocuSign.™
- DCYF Provider Registration Form (DocuSign™)
- DCYF Direct Deposit Authorization Form (DocuSign™)
Note: Once notified of completion, DocuSign™ will automatically submit the forms. Please do not send PDF copies of electronically submitted forms.
To manually complete the forms, print, sign with a blue or black pen, scan to a PDF, and submit to: supplierforms@ofm.wa.gov.
- DCYF Provider Registration Form (PDF)
- DCYF Direct Deposit Authorization Form (PDF)
Note: PDF forms with a stamped, inserted, or electronic signature will not be accepted. Forms with information crossed out or in white-out will not be accepted.
