Home and Community Living Administration

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Sign Language Interpreter Renewal

Please fill out the DSHS Background Application first. https://fortress.wa.gov/dshs/bcs/. You will need the Confirmation Number to complete this renewal form.

Background Check

All Sign Language Interpreters are required to fill out DSHS background check authorization application online. https://fortress.wa.gov/dshs/bcs

Once you fill out the on-line application, you will receive a confirmation code via email. Please add that code below.
 
Confirmation Code  

Personal Information

Thank you for updating your registration with ODHH.

This update will become effective on or after July 1, 2026 (depending on your submittal date). Our new cycle, FY27, runs from 7/1/2026 though 6/30/2027.

Check your status here: https://www.dshs.wa.gov/altsa/odhh/interpreters 

The ODHH Registry is for work through the statewide contract which is managed by the Department of Enterprise Services and monitored by ODHH. All assignments are through the approved vendor(s) of your choice. You can register for any or all: general assignments, WA Courts list, and/or Apple Health assignments.

WA Courts: select if you are eligible to be listed on the Washington Court Certification list. For more information on qualifications, please look up WAC 388.818.500. You must meet the credentials to be on this list. 

Health Care Authority - Apple Health: select if you will do assignments for Apple Health Requests. These are  are paid for by Health Care Authority. Health care appointments may require additional information.

**As requested by our Deaf and DeafBlind community partners, ODHH has created a Dictionary of Interpreters. This is separate from the ODHH Registry. It is for all Sign Language Interpreters who work in WA State (private contracted, education, etc.). Please support our community and fill out: Directory Of Interpreters **
Applying for registry with

First Name  
Middle Initial  
Last Name  
Preferred name if different from legal name
Date of Birth
 
Street Address  
City  
State  
Zip Code
 
County of Residence
If not in WA State, please choose "other". 		 
Telephone Number (Including Area Code)
  		    |   
Telephone Number (Including Area Code):
   		    |   
Email Address     Home Work Mobile
Email Address   Home Work Mobile

Availability

 
I am currently working as a subcontractor/employee with the following Interpreter Referral Agenc(ies): (check all that apply) I understand that the Interpreter Referral Agencies will verify my insurance information. If I am not linked with an agency, my name will be removed from the ODHH list.

DES Contract:





Crucial Service:




I am an Independent Contractor with the State of Washington. My contract number is

Self-Disclosure (please review and check all that apply to you)
If you checked any of the questions above, please explaining the circumstances in detail. Please be sure to provide the date, the state, and information regarding the crime and/or findings.

Explanation:
 

Confidential Agreement per DSHS Form 03-374b

“Confidential Information” means information that is exempt from disclosure to the public or other unauthorized persons under Chapter 42.56 RCW or other federal or state laws. Confidential Information includes, but is not limited to, protected health information as defined by the federal rules adopted to implement the Health Insurance Portability and Accountability Act of 1996, 42 USC §1320d (HIPAA), and Personal Information.

“Personal Information” means information identifiable to any person, including, but not limited to, information that relates to a person’s name, health, finances, education, business, use or receipt of governmental services or other activities, addresses, telephone numbers, social security numbers, driver license numbers, other identifying numbers, and any financial identifiers or as otherwise identified in RCW 42.56.230.

State laws (including RCW 74.04.060 and RCW 70.02.020) and federal regulations (including HIPAA Privacy and Security Rules; 42 CFR, Part 2; 42 CFR Part 431) prohibit unauthorized access, use, or disclosure of Confidential Information. Violation of these laws may result in criminal or civil penalties or fines. You may face civil penalties for violating HIPAA Privacy and Security Rules up to $50,000 per violation and up to $1,500,000 per calendar year as well as criminal penalties up to $250,000 and ten years imprisonment.

Assurance of Confidentiality

When any State Department, Agency or Contracted Service Provider grants me access to state property, systems, and Confidential Information, I agree that I: (must check all)
 









Declaration
 
I understand that if any of information provided above is found to be false, it may preclude me from providing services under the ODHH-DES Master Contract.  This document is signed and sworn under penalty of perjury.  I certify that the above information is true and correct.

My signature on this registration form authorizes ODHH and DES to review and/or obtain conviction records from the Washington State Patrol and other states; and to obtain from Washington and other states licensing information and any determination or finding of abuse, neglect or exploitation. 

I understand that the results of this background check will be kept in total confidence and may be released or reviewed by ODHH and/or DES when monitoring contract compliance.  Any convictions or findings resulting after ODHH registration and approval shall be reported to ODHH within two working days.

Signed on Date: 
 

Registration Submittal