Lynne A. Valenti
Cabinet Secretary

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Below you will find the selected forms and/or publications for this order. You will need to indicate the quantity you want to receive in the box next to the document number. After you have entered the quantity, click "Update" in the previous box. If you wish to remove a form or publication, simply click on the link that states "Delete." Once you have entered the quantity for each form or publication, click the "Proceed" button at the bottom.

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditCPS-566Foster Parent EvaluationDelete
1EditDSS-CPSSafe Havens PosterDelete
1EditDSSGuide to Administrative Hearings ProcedureDelete
1EditCCSOrientation Training Verification FormDelete
1EditBRO/DCS1Child Support Modification HandbookDelete
1EditEA-307GSNAP Group Home Exit FormDelete
1EditBRO/MS1Medical Assistance Program Recipient HandbookDelete
1EditFACISInterstate Compact: Placement Request FormDelete
1EditCPS-508Reference Form - Adoption / Foster / Kinship CareDelete
1EditCPS-500Newborn Medical Report for Voluntary Termination of Parental RightsDelete
1EditEA-319Request for Administrative HearingDelete
1EditMS-146Sterilization Consent FormDelete
1EditBRO/MS3Well-Child Care BrochureDelete
1EditDSSPsychiatric Residential Treatment Facility Referral FormDelete
1EditCPSBackground Information for Voluntary Termination of Parental RightsDelete
1EditCCSPathways to Professional Development - Renewal ApplicationDelete
1EditEA-347Application for Social Security NumberDelete
1EditCPS-549Request for Screening for Substantial Reports of Abuse and Neglect (unregistered family day care providers ONLY)Delete
1EditBRO/CPS4Mandatory Reporting of Child Abuse & Neglect BrochureDelete
1EditSE-431AChild Support Payment Authorization FormDelete
1EditBH-04102b Hardship ConsiderationsDelete
1EditCPS-593Permission to Screen for Reports of Abuse or NeglectDelete
1EditBRO/EA10SNAP for StudentsDelete
1EditBH-08Mental Health - IMPACT ApplicationDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditEA-269Child Care Expense Billing InformationDelete
1EditBRO/MS4Title XIX Medical Transportation BrochureDelete
1EditDSS-ORFI-831Estate Recovery Notification of Death FormDelete
1EditSE-406Application for Location Only ServicesDelete
1EditBRO/DCS3Income and Wage Withholding Brochure - Information for SD Employers, Financial Institutions, and Other Payors of IncomeDelete
1EditBRO/CPS2Common Sense Parenting BrochureDelete
1EditSE-405Application for Income Withholding Only ServiceDelete
1EditSE-415Petition for Modification FormDelete
1EditCPSBackground Information for Voluntary Termination of Parental RightsDelete
1EditMS-102Provider Selection FormDelete
1EditEA-320Self-Employment LedgerDelete
1EditDSS-W9W-9 FormDelete
1EditEA-305Boarding School-Institution DocumentationDelete
1EditCPSDesignated Tribal Agent Request for Change of AddressDelete
1EditBRO/RE1Stop Benefit Fraud BrochureDelete
1EditEA-297Energy Assistance ApplicationDelete
1EditBRO/CCS3Registration & Licensure of Child Care EnvironmentsDelete
1EditCPS-533Adoption Registry FormDelete
1EditBH-17Prevention - Accreditation ApplicationDelete
1EditEA-269Child Care Expense Billing InformationDelete
1EditBH-11eAdult MH Update Outcome ToolDelete
1EditBH-07Mental Health - Accreditation ApplicationDelete
1EditBH-02Financial Eligibility FormDelete
1EditBH-11bAdult SUD Update Outcome ToolDelete
1EditBH-05Hardship Considerations RefusalDelete
1EditBRO/EA4TANF Work Program BrochureDelete
1EditCPSPlacement Resource Monthly Reporting Form Ages 14 and olderDelete