Lynne A. Valenti
Cabinet Secretary

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditDSSGuide to Administrative Hearings ProcedureDelete
1EditBRO/CPS3Safe Havens BrochureDelete
1EditEA-297Energy Assistance ApplicationDelete
1EditBRO/MS1Medical Assistance Program Recipient HandbookDelete
1EditBRO/DSS3Administrative Hearings BrochureDelete
1EditEA-249Disabled Children Application / Eligibility ReviewDelete
1EditCCSOrientation Training Verification FormDelete
1EditCPSDesignated Tribal Agent Request for Change of AddressDelete
1EditBRO/CPS5What I Should Know About Foster CareDelete
1EditBRO/DCS1Child Support Modification HandbookDelete
1EditEA-269Child Care Expense Billing InformationDelete
1EditPosterCHIP PosterDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditBRO/EA10SNAP for StudentsDelete
1EditBH-11fAdult MH Discharge Outcome ToolDelete
1EditCPS-506Foster/Adoptive Parent Health ReportDelete
1EditSE-405Application for Income Withholding Only ServiceDelete
1EditEA-347Application for Social Security NumberDelete
1EditFACISInterstate Compact: Report on Child PlacementDelete
1EditMS-146Sterilization Consent FormDelete
1EditMSInstitutional Billing ManualDelete
1EditBRO/RE1Stop Benefit Fraud BrochureDelete
1EditDSS-CPSSafe Havens PosterDelete
1EditCPSPlacement Resource Monthly Reporting Form Ages 0-4Delete
1EditCPSBackground Information for Voluntary Termination of Parental RightsDelete
1EditFSSAChildren and Family Medical Assistance ApplicationDelete
1EditCPSBackground Information for Voluntary Termination of Parental RightsDelete
1EditBRO/EA8Medicaid Spousal Care HandbookDelete
1EditCPS-508Reference Form - Adoption / Foster / Kinship CareDelete
1EditPosterRecommendations for Exclusion from the Child Care Setting PosterDelete
1EditEA-214SNAP 6 Month Report FormDelete
1EditCPSDesignated Tribal Agent Request FormDelete
1EditRec and FraudReport Benefit FraudDelete
1EditBRO/CPS4Mandatory Reporting of Child Abuse & Neglect BrochureDelete
1EditBRO/EA16Medical Assistance for Children and Families: IHS SpecificDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditBH-05Hardship Considerations RefusalDelete
1EditEA-319Request for Administrative HearingDelete
1EditCPS-593Permission to Screen for Reports of Abuse or NeglectDelete