Lynne A. Valenti
Cabinet Secretary

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditMSProfessional Services Billing ManualDelete
1EditBH-18Mental Health - Indigent Medication Update - Extension Form 1.0Delete
1EditPosterReportable Disease List PosterDelete
1EditEA-345AAffidavit for SNAP Work Registrants (Employment & Training)Delete
1EditCPSPotential Placement StatementDelete
1EditBRO/CPS7Independent Living Program Education and Training Voucher BrochureDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditBRO/DSS4Direct Deposit BrochureDelete
1EditBRO/EA12Energy Assistance BrochureDelete
1EditEA-301MAChildren and Family Medical Assistance Supplemental Application Delete
1EditBRO/EA2SNAP BrochureDelete
1EditCPSIndependent Living Program BrochureDelete
1EditBRO/CCS14Choosing Child Care HandbookDelete
1EditASA-668Homemaker Services ReportDelete
1EditEA-310Form for Reporting ChangesDelete
1EditBRO/ASA11Crime Victims Compensation BrochureDelete
1EditBRO/ASALong-Term Care Partnership Fact SheetDelete
1EditBRO/ASA12Helping You Understand Medicare & Your BenefitsDelete
1EditBRO/CPS17Family Group Conferencing – Parents Guide Delete
1EditBRO/DSS2Constituent Liaison Services BrochureDelete
1EditBH-09Mental Health - Indigent Medication ApplicationDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditBRO/CCS6Child Care Assistance Program BrochureDelete
1EditMSProviders: NEMT Provider AgreementDelete
1EditSE408NCPApplication and Agreement for Services - Non-Custodial Parent Delete
1EditCPS-594Declaration of Prior Criminal Conviction & Military HistoryDelete
1EditEA-270Medical Savings Program ApplicationDelete
1EditCPSFoster Parent HandbookDelete
1EditCPSProvider Mileage RequestDelete
1EditEA-320Self-Employment LedgerDelete