Are there other ways I can make a request for the HCBS Waiver? You can make a request to enroll in a Home and Community Based Waiver by visiting: , and completing and submitting the online service and information request form. To make a verbal request, contact your regional office by telephone (regional office contact information is located on the last page of this form). How do I contact my regional office? You may use the following link to reach the regional office or use the information below. Regional Contact Information Region 1 Headquarters North Region 1 Headquarters South 1611 West Indiana Avenue 3700 Fruitvale Blvd., Suite 200 Spokane, WA 99205-4221 Yakima, WA 98902-1100 Local: (509) 329-2900 PO Box 12500 FAX: (509) 568-3037 Yakima, WA 98909-1100 Toll Free: 1-800-462-0624 (TTY / VOICE) Local: (509) 225-4620 e-mail: FAX: (509) 574-5607 Toll Free: 1-800-822-7840 (TTY / VOICE) : Region 2 Headquarters North Region 2 Headquarters South 840 North Broadway, 1st floor 1700 East Cherry Street Building A, Suite 100 Seattle, WA 98122 Everett, WA 98201-1288 Local: (206) 568-5700 Local: (425) 339-4833 FAX: (206) 720-3334 FAX: (425) 339-4856 Toll Free: 1-800-314-3296 (TTY / VOICE) Toll Free: 1-800-788-2053 (TTY / VOICE) : : Region 3 Headquarters South Region 3 Headquarters North Point Plaza East, Bldg. 2, 3rd Floor 1305 Tacoma Avenue South, Suite 300 6860 Capitol Blvd. SE Tacoma, WA 98402 PO Box 45315 Local: (253) 404-5500 Olympia WA 98504-5315 FAX: (253) 597-4368 Local: (360) 725-4250 Toll Free: 1-800-248-0949 (TTY / VOICE) FAX: (360) 586-6502 : Toll Free: 1-800-339-8277 (TTY / VOICE) :
Are there other ways I can make a request for the HCBS Waiver? You can make a request to enroll in a Home and Community Based Waiver by visiting: , and completing and submitting the online service and information request form. To make a verbal request, contact your regional office by telephone (regional office contact information is located on the last page of this form). How do I contact my regional office? You may use the following link to reach the regional office or use the information below. Regional Contact Information Region 1 Headquarters North 1611 West Indiana Avenue Spokane, WA 99205-4221 Local: (509) 329-2900 FAX: (509) 568-3037 Toll Free: 1-800-462-0624 (TTY / VOICE) e-mail: Region 1 Headquarters South 3700 Fruitvale Blvd., Suite 200 Yakima, WA 98902-1100 PO Box 12500 Yakima, WA 98909-1100 Local: (509) 225-4620 FAX: (509) 574-5607 Toll Free: 1-800-822-7840 (TTY / VOICE) : Region 2 Headquarters North 840 North Broadway, 1st floor Building A, Suite 100 Everett, WA 98201-1288 Local: (425) 339-4833 FAX: (425) 339-4856 Toll Free: 1-800-788-2053 (TTY / VOICE) : Region 2 Headquarters South 1700 East Cherry Street Seattle, WA 98122 Local: (206) 568-5700 FAX: (206) 720-3334 Toll Free: 1-800-314-3296 (TTY / VOICE) : Region 3 Headquarters North 1305 Tacoma Avenue South, Suite 300 Tacoma, WA 98402 Local: (253) 404-5500 FAX: (253) 597-4368 Toll Free: 1-800-248-0949 (TTY / VOICE) : Region 3 Headquarters South Point Plaza East, Bldg. 2, 3rd Floor 6860 Capitol Blvd. SE PO Box 45315 Olympia WA 98504-5315 Local: (360) 725-4250 FAX: (360) 586-6502 Toll Free: 1-800-339-8277 (TTY / VOICE) :