Children's Administration, Department of Social and Health Services
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Forms

Form # Form Name
09-765 Declaration of Adoption Facilitator - Indian Child Word | PDF
04-220 Family Ancestry Chart Word | PDF
09-777 Indian Child: Compliance Checklist Shana | PDF
09-761 Indian Identity Request PDF
09-761 SP Indian Identity Request - Spanish PDF
09-536 Inquiry to Bureau of Indian Affairs PDF
09-539 Inquiry to Indian Tribe, Band, or Nation PDF
09-537 Notice to Non-Federally Recognized or Canadian Indian Tribe or Band RE: Court Hearing Shana | PDF
09-760 Notice of Placement Change (Indian Child) Shana | PDF
Contact:
Cheryl Rich
ICW Program Manager Supervisor
Phone: 360-902-0239

Betsy Tulee
Member of the Makah Nation
Lead ICW Program Manager
Phone: 425-673-3114

Shanne Miller
Member of the Colville Confederated Tribes
Associate ICW Program Manager
Phone: 360-902-0251
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Shana Informed Filler. On opening your first Shana form, enter the registration key: 32064015014070671