Lynne A. Valenti
Cabinet Secretary

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditSE408NCPApplication and Agreement for Services - Non-Custodial Parent Delete
1EditBRO/EBT1EBT Client HandbookDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditMS-146Sterilization Consent FormDelete
1EditBRO/CPS11Central Registry of Child Abuse & NeglectDelete
1EditBRO/DCS4National Medical Support Notice Brochure - An Employers GuideDelete
1EditBRO/EA2SNAP BrochureDelete
1EditBRO/CPS7Independent Living Program Education and Training Voucher BrochureDelete
1EditMS-103Provider Change FormDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditBRO/DSS8Notice of Privacy BrochureDelete
1EditPAPrior Authorization Forms: Applied Behavior Analysis TherapyDelete
1EditCPS-565Foster Parent Training & Self-InstructionDelete
1EditBRO/DSS2Constituent Liaison Services BrochureDelete
1EditPosterConstituent Liaison Services PosterDelete
1EditBH-08Mental Health - IMPACT ApplicationDelete
1EditBRO/DCS6Voluntary Paternity Establishment Handbook and FormDelete
1EditBRO/EA12Energy Assistance BrochureDelete
1EditBRO/CPS2Common Sense Parenting BrochureDelete
1EditCPSProvider Mileage RequestDelete
1EditBRO/RE3Estate Recovery Program BrochureDelete
1EditBRO/EA4TANF Work Program BrochureDelete
1EditCCS-964Child Care Declaration of Prior Criminal Conviction and Military HistoryDelete
1EditEA-270Medical Savings Program ApplicationDelete
1EditPosterCHIP PosterDelete
1EditBRO/DCS4National Medical Support Notice Brochure - An Employers GuideDelete
1EditCPS-500Newborn Medical Report for Voluntary Termination of Parental RightsDelete
1EditCPS-508Reference Form - Adoption / Foster / Kinship CareDelete
1EditMSProviders: NEMT Provider AgreementDelete
1EditCPSFoster Parent HandbookDelete
1EditBRO/CPS9Adoption Subsidy HandbookDelete
1EditEA-345AAffidavit for SNAP Work Registrants (Employment & Training)Delete
1EditCPS-522Request for PaymentDelete
1EditCPS-593Permission to Screen for Reports of Abuse or NeglectDelete
1EditEA-298Weatherization ApplicationDelete
1EditMSHysterectomy Acknowledgement of InformationDelete
1EditRec and FraudEstate Recovery Program Petition for LimitationDelete
1EditBRO/EA9SNAP Shoppers GuideDelete
1EditCPSPlacement Resource Monthly Reporting Form Ages 5-13Delete
1EditBRO/MS3Well-Child Care BrochureDelete
1Edit Recipient Forms: HIPAA Privacy Consent FormDelete
1EditBH-11dAdult MH Initial Outcome ToolDelete
1EditBRO/EBT1EBT Client HandbookDelete
1EditPAPrior Authorization Forms: Genetic Testing Delete
1EditBRO/EACommunity Action Agency HandoutDelete
1EditBH-01Federal Poverty Level GuidelinesDelete
1EditCCS-970Child Care Services Request For PaymentDelete
1EditBH-17Prevention - Accreditation ApplicationDelete
1EditPAPrior Authorization Forms: SynagisDelete
1EditEA-320Self-Employment LedgerDelete
1EditRec and FraudStop Benefit Fraud InsertDelete
1EditFSSAChildren and Family Medical Assistance ApplicationDelete
1EditEA-310Form for Reporting ChangesDelete
1EditBH-09aIndigent Medication Update-Extension ApplicationDelete
1EditCCS-950Child Care Assistance ApplicationDelete
1EditBRO/VS3Crime Victims Compensation Program BrochureDelete
1EditBRO/VS2Domestic Violence BrochureDelete
1EditPOS/EA02Long-Term Care Partnership Fact SheetDelete
1EditMSCertificate of Medical NecessityDelete
1EditCCSSouth Dakota Child Safety Seat Distribution ProgramDelete