We value your time! We suggest that you fill out this short Contact Us form to speak with an NWC representative and assess whether you may be eligible before completing the full application.
Please be advised that submitting an application is not a guarantee of services. Enrollment occurs after eligibility has been determined and a plan has been developed with a coordinator.
Some applicants may need to fill out this DSHS consent form. Your coordinator will let you know if it is needed for your situation. Once you fill out the PDF form, it may be submitted through the document upload below.
This form may be used to securely transfer documents such as a copy of your driver’s license and social security card. Your coordinator will let you know which documents are needed.