State

State Regional Map
Regional Contact Information
Downloadable State Application Forms

State Regional Map

 
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Regional Contact Information

In the State of Washington, you have the option of getting licensed with the State for Foster Care. If you choose to work with the state, you will work with the DLR (Department of Licensed Resources) Office in your County.  For more information on working with the State, please contact the following individuals in your area:

Region 1 North (Adams, Asotin, Chelan, Douglas, Ferry, Garfield, Grant, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens and Whitman Counties)

Laurie Palmquist at (509) 363-3523 or Laurie.Palmquist@dshs.wa.gov

Region 1 South (Benton, Columbia, Franklin, Klickitat, Kittitas, Walla Walla and Yakima Counties)

Laree Cardwell at (509) 524-4915 or Laree.Cardwell@dshs.wa.gov for Walla Walla and vicinity.
Trisha Holcomb at (509) 737-2827 or Trisha.Holcomb@dshs.wa.gov for Tri-Cities and vicinity
Gracie Mariscal at (509) 865-1471 or Griselda.Mariscal@dshs.wa.gov for Toppenish and vicinity.
Maria Rivera at (509) 225-6561 or Maria.Rivera@dshs.wa.gov for Yakima and vicinity.
Debby Rabin at (509) 773-7483 or Debby.Rabin@dshs.wa.gov for Goldendale and vicinity.

Region 2 North (Snohomish, Skagit, Island, San Juan and Whatcom Counties)

Vickie Tupper at (425) 339-2961 or Vickie.Tupper@dshs.wa.gov

Region 2 South (King County)

Richard Tagorda at (253) 372-6014 or Richard.Tagorda@dshs.wa.gov

Region 3 North (Kitsap and Pierce Counties)

Charlotte Glen at (253) 983-6132 or Charlotte.Glen@dshs.wa.gov

Region 3 South (Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Lewis, Mason, Pacific, Skamania, Thurston and Wahkiakum Counties)

Giselle Reyes at (360) 993-7947 or Giselle.Reyes@dshs.wa.gov for Clark, Cowlitz, Skamania and Wahkiakum Counties
Wendi Pumphrey-Rios at (360) 725-6765 or Wendi.Pumphrey-Rios@dshs.wa.gov for all other Counties.

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Downloadable Foster Care Application Forms

If you would like to get started on some of the application paperwork before you attend Orientation or have misplaced any forms from your application packet, you can download the following documents in pdf file format below or in Word file format online at the following link: http://www.dshs.wa.gov/msa/forms/eforms.html

➢ 10-354   Family Home Study Application          English        Spanish

➢ 10-183   Foster Home Inspection Checklist          English         Spanish

➢ 15-276   Personal Information          English        Spanish

➢ 10-290   Policy Agreements          English        Spanish

➢ 15-286   Reference Questionnaire          English            Spanish

➢ 13-001   Applicant Medical Report Confidential          English          Spanish

➢ 09-653   Background Authorization          English          Spanish

➢ 16-204   Fire Evacuation Plan          English         Spanish

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