Laurie Gill
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
1EditBRO/RE1Stop Benefit Fraud BrochureDelete
1EditBRO/BH4Substance Use Disorder Involuntary Commitment ProcessDelete
1EditBRO/CPS17Family Group Conferencing – Parents Guide Delete
1EditBRO/CPS4Mandatory Reporting of Child Abuse & Neglect BrochureDelete
1EditPosterConstituent Liaison Services PosterDelete
1EditBRO/EA16Medical Assistance for Children and Families: IHS SpecificDelete
1EditBRO/CPS1Child Protection Services BookletDelete
1EditPosterCHIP PosterDelete
1EditBRO/EA2SNAP BrochureDelete
1EditCCSOrientation Training Verification FormDelete
1EditSE-492Notice of Shared Medical ExpensesDelete
1EditBRO/CPS7Independent Living Program Education and Training Voucher BrochureDelete
1EditBRO/EA8Medicaid Spousal Care HandbookDelete
1EditBRO/DCS8Child Support Parent HandbookDelete
1EditBRO/DSS8Notice of Privacy BrochureDelete
1EditEA-320Self-Employment LedgerDelete
1EditBRO/DSS2Constituent Liaison Services BrochureDelete
1EditDSS-CPSSafe Havens PosterDelete
1EditBRO/EA12Energy Assistance BrochureDelete
1EditBRO/RE3Estate Recovery Program BrochureDelete
1EditBRO/CPS2Common Sense Parenting BrochureDelete
1EditBRO/EA4TANF Work Program BrochureDelete
1EditBRO/RE4Medicaid Liens BrochureDelete
1EditPosterCHIP PosterDelete
1EditOS-954Client Authorized Debit for Repayment of OverissuanceDelete
1EditBH-04102b Hardship ConsiderationsDelete
1EditBRO/DCS4National Medical Support Notice Brochure - An Employers GuideDelete
1EditPosterReportable Disease List PosterDelete
1EditDSSPsychiatric Residential Treatment Facility Referral FormDelete
1EditBRO/DSS3Administrative Hearings BrochureDelete
1EditBRO/EACommunity Action Agency HandoutDelete
1EditDSS-CCSRate Declaration FormDelete
1EditSE-406Application for Location Only ServicesDelete
1EditBRO/EA11Weatherization Assistance BrochureDelete
1EditBH-18Substance Use Disorder High Intensity Referral FormDelete
1EditBRO/DCS6Voluntary Paternity Establishment Handbook and FormDelete
1EditBRO/CCS3Registration & Licensure of Child Care EnvironmentsDelete
1EditBRO/EA14Medical Assistance for Children and FamiliesDelete
1EditCPS-549Request for Screening for Substantial Reports of Abuse and Neglect (unregistered family day care providers ONLY)Delete
1EditBRO/EA18Long-Term Care Partnership BrochureDelete
1EditBRO/EA9SNAP Shoppers GuideDelete
1Edit Recipient Forms: HIPAA Privacy Consent FormDelete
1EditBRO/MS1Medical Assistance Program Recipient HandbookDelete
1EditBRO/MS3Well-Child Care BrochureDelete
1EditBRO/CPS18Family Group Conferencing – Provider Guide Delete
1EditEA-301Economic Assistance ApplicationDelete
1EditBRO/CPS3Safe Havens BrochureDelete
1EditBRO/EBT1EBT Client HandbookDelete
1EditBRO/DSS9DSS HandbookDelete
1EditCPSIndependent Living Program Education and Training Voucher Delete
1EditBRO/EA10SNAP for StudentsDelete
1EditBRO/DSS6Filing a Discrimination Complaint Brochure and FormDelete
1EditBRO/EA5Medicare Savings Program BrochureDelete
1EditBRO/DCS1Child Support Modification HandbookDelete
1EditBRO/CPS11Central Registry of Child Abuse & NeglectDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditRec and FraudStop Benefit Fraud InsertDelete
1EditEA-269Child Care Expense Billing InformationDelete
1EditBRO/DCS3Income and Wage Withholding Brochure - Information for SD Employers, Financial Institutions, and Other Payors of IncomeDelete
1EditEA-240DApplication for Medical Assistance for Workers with DisabilitiesDelete
1EditBRO/CCS6Child Care Assistance Program BrochureDelete
1EditBRO/DSS4Direct Deposit BrochureDelete
1EditMS-146Sterilization Consent FormDelete
1EditBRO/EA1Energy Saving TipsDelete