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
1EditBRO/CPS18Family Group Conferencing – Provider Guide Delete
1EditBRO/CCS6Child Care Assistance Program BrochureDelete
1EditCPSICPC Financial and Medical PlanDelete
1EditEA-320Self-Employment LedgerDelete
1EditASA-677Prescription AssistanceDelete
1EditBRO/ASA2Abuse, Neglect & Exploitation of Elders or Adults with DisabilitiesDelete
1EditEA-269Recipient Forms: Child Care Expense Billing InformationDelete
1EditRec and FraudStop Benefit Fraud InsertDelete
1EditBRO/EA16Medical Assistance for Children and Families: IHS SpecificDelete
1EditEA-297Energy Assistance ApplicationDelete
1EditBH-11eAdult MH Update Outcome ToolDelete
1EditBRO/DSS6Filing a Discrimination Complaint Brochure and FormDelete
1EditBRO/ASALong-Term Care Partnership StufferDelete
1EditEA-320Self-Employment LedgerDelete
1EditBRO/CPS1Child Protection Services BookletDelete
1EditMSHysterectomy Acknowledgement of InformationDelete
1EditBRO/ASA4Sexual Assault BrochureDelete
1EditRec and FraudReport Benefit FraudDelete
1EditBRO/DSS9DSS HandbookDelete
1EditCPSIndependent Living Program Education and Training Voucher Delete