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Forms and Publications

The Department of Social Services has free forms and publications that can provide you with information and guidance in a number of important areas.

This page can help you find the information you need in the following ways:

  Order Online Some forms are available to fill out and submit online. The remaining online forms can be filled out on your computer, printed and mailed.
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  Add to Cart There’s a simple “Shopping Cart” that allows you to place an order for free forms and publications. These documents will then be mailed to you at no cost.
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If you would like to order any form or publication in Spanish, please click on Documentos en Español. You will find both forms and publication in Spanish in this section. The shopping cart will automatically default to the Spanish version of the form or publication.

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Forms and Publications Filter:

Document Type: Forms Only | Publications Only | Documentos en Español | All

Service Area:

Abuse and Neglect

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPS 04Mandatory Reporting Brochuren/an/aspanish versionenglish versionadd to cart
CPS 11Central Registry Brochuren/an/aspanish versionenglish versionadd to cart
CPS-501Individual: Request for Screeningn/aonline versionn/an/an/a
CPS-502Agency: Request for Screeningn/aonline versionn/an/an/a
CPS-504Present Danger Plann/aonline versionn/aenglish versionadd to cart
CPS-593Permission to Screen for Reports of Abuse and Neglectn/aonline versionspanish versionn/an/a

Administrative Hearings

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
DSS 03Administrative Hearings Brochureinstructionsn/an/aenglish versionadd to cart
EA-319Request for Administrative Hearingn/aonline versionn/an/an/a

Adoption and Foster Care

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPSBackground Information for Voluntary Termination of Parental Rightsn/aonline versionn/an/an/a
CPS 19FosterOne Brochuren/an/an/aenglish versionadd to cart
CPS 20FosterOne – Realitiesn/an/an/aenglish versionadd to cart
CPS 21FosterOne Myth & Factn/an/an/aenglish versionadd to cart
CPS 22Foster Parent Handbookn/aonline versionn/an/an/a
CPS-506Foster/Adoptive Parent Health Reportn/aonline versionn/an/an/a
CPS-508Reference Form - Adoption / Foster / Kinship Caren/aonline versionn/an/an/a
CPS-533Adoption Registry Forminstructionsonline versionn/an/an/a
CPS-565Foster Parent Training & Self-Instructionn/aonline versionn/an/an/a

Behavioral Health

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
BH 01Substance Use Disorder Services Brochuren/an/an/aenglish versionadd to cart
BH 02Mental Health Services Brochuren/an/an/aenglish versionadd to cart
BH 03Behavioral Health Desk Guiden/aonline versionn/an/an/a
BH 04Substance Use Disorder Involuntary Commitment Processn/an/an/aenglish versionadd to cart
BH 05Intensive Methamphetamine Treatment Servicesn/an/an/aenglish versionadd to cart
BH 10South Dakota Community Mental Health Center Flyern/an/an/aenglish versionadd to cart
BH 11Suicide Prevention Flyern/an/an/aenglish versionadd to cart
BH 12Substance Use Disorder Services Flyern/an/an/aenglish versionadd to cart
BH 13Juvenile Justice Reinvestment Initiative Flyern/an/an/aenglish versionadd to cart
BH 14Substance Use Prevention Services Flyern/an/an/aenglish versionadd to cart
BH 15Criminal Justice Initiative Flyern/an/an/aenglish versionadd to cart
BH 16Pregnancy Alcohol Flyern/an/an/aenglish versionadd to cart
BHAO01AVOID OPIOID - How to Use Naloxone Brochuren/an/an/aenglish versionadd to cart
BHAO02AVOID OPIOID - ASAM National Practice Guideline Spiral Bookn/an/an/aenglish versionadd to cart
BHAO03AVOID OPIOID - A Guide for Patients Spiral Bookn/an/an/aenglish versionadd to cart
BHAO04AVOID OPIOID - Bookletn/an/an/aenglish versionadd to cart
BHAO05AVOID OPIOID - Referral Cardn/an/an/aenglish versionadd to cart
BHAO06AVOID OPIOID - Packetn/an/an/aenglish versionadd to cart
BHAO07AVOID OPIOID - Trifold Pocket Cardn/an/an/aenglish versionadd to cart
BHAO08AVOID OPIOID - Care Coordination Business Cardsn/an/an/aenglish versionadd to cart
BHAO09AVOID OPIOID - Care Coordination Brochuren/an/an/aenglish versionadd to cart
BHAO10AVOID OPIOID - Mat Brochuren/an/an/aenglish versionadd to cart
BHAO11AVOID OPIOID - Open House Resources and Tips for Realtorsn/an/an/aenglish versionadd to cart
BHAO12AVOID OPIOID - Prescription Addiction Business Cardsn/an/an/aenglish versionadd to cart
BHAO13AVOID OPIOID - Statewide Drop-Off Site Postcardsn/an/an/aenglish versionadd to cart
BHAO14AVOID OPIOID - Resource Guiden/an/an/aenglish versionadd to cart
BHAO15AVOID OPIOID – Opioid Medications and Your Petsn/an/an/aenglish versionadd to cart
BHAO16AVOID OPIOD - Naloxone Postcardn/an/an/aenglish versionadd to cart
BHAO20AVOID OPIOID - Pill Stress Ballsn/an/an/aenglish versionadd to cart
BHAO21AVOID OPIOID - Lip Balmn/an/an/aenglish versionadd to cart
BHAO22AVOID OPIOID - Vinyl Stickern/an/an/aenglish versionadd to cart
BHAO23AVOID OPIOID - Note Padsn/an/an/aenglish versionadd to cart
BHAO24AVOID OPIOID - Pensn/an/an/aenglish versionadd to cart
BHAO25AVOID OPIOID - Water Bottlen/an/an/aenglish versionadd to cart
BHMC01METH - I Need Help Rack Cardn/an/an/aenglish versionadd to cart
BHMC02METH – I Want Help Rack Cardn/an/an/aenglish versionadd to cart
BHMC03METH – Bi-Fold Business Cardn/an/an/aenglish versionadd to cart
BHMC04METH – Note Padn/an/an/aenglish versionadd to cart
BHMC05METH – Small Magnetn/an/an/aenglish versionadd to cart
BHMC06METH – Large Magnetn/an/an/aenglish versionadd to cart
BHMC07METH - Penn/an/an/aenglish versionadd to cart
BHMC08METH - Foldern/an/an/aenglish versionadd to cart
BHSP01SUICIDE PREVENTION – Business Cardn/an/an/aenglish versionadd to cart
BHSP02SUICIDE PREVENTION Plann/an/an/aenglish versionadd to cart
BHSPB01Bethe1SD - Brochuren/an/an/aenglish versionadd to cart
BHSPB02Bethe1SD - Flyern/an/an/aenglish versionadd to cart
BHSPB03Bethe1SD - Referral Cardn/an/an/aenglish versionadd to cart
BHSPB04Bethe1SD - Stickern/an/an/aenglish versionadd to cart
BHSPB05Bethe1SD - Lanyardn/an/an/aenglish versionadd to cart
BHSPB06Bethe1SD - Penn/an/an/aenglish versionadd to cart
BHSPB07Bethe1SD - Wristbandn/an/an/aenglish versionadd to cart
BHSPB08Bethe1SD - Bagn/an/an/aenglish versionadd to cart
BHSPB09Bethe1SD - Water Bottlen/an/an/aenglish versionadd to cart
BHSPBKITBethe1SD Toolkitn/an/an/aenglish versionadd to cart
BHSPL01LGBTQ – Always Hope Boy Postern/an/an/aenglish versionadd to cart
BHSPL02LGBTQ – Always Help Unisex Postern/an/an/aenglish versionadd to cart
BHSPL03LGBTQ – Always Here Girl Postern/an/an/aenglish versionadd to cart
BHSPM01MILITARY – Light Blue Postern/an/an/aenglish versionadd to cart
BHSPM02MILITARY – Green Poster n/an/an/aenglish versionadd to cart
BHSPM03MILITARY – Dark Blue Postern/an/an/aenglish versionadd to cart
BHSPR01REACH FOR LIFE Referral Cardn/an/an/aenglish versionadd to cart
BHSPR02REACH FOR LIFE Flyern/an/an/aenglish versionadd to cart
BHSPRKITREACH FOR LIFE Toolkitn/an/an/aenglish versionadd to cart
HSC01Mental Health Wellness and Recovery Phone Apps Brochuren/an/an/aenglish versionadd to cart

Child Care Services

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CCSElectronic Payment Exemptionsn/an/an/aenglish versionadd to cart
CCSPayment Authorization Formn/an/an/aenglish versionadd to cart
CCSFoster Care Child Care Applicationn/aonline versionn/an/an/a
CCSPathways to Professional Development - Renewal Applicationn/an/an/aenglish versionadd to cart
CCSPathways to Professional Development - Career Lattice Application Formn/an/an/aenglish versionadd to cart
CCS 06Child Care Assistance Program Brochuren/an/aspanish versionenglish versionadd to cart
CCS 09SD Child Safety Seat Brochuren/an/aspanish versionenglish versionadd to cart
CCS 10SD Child Development Associate Training Programn/an/an/aenglish versionadd to cart
CCS 14Choosing Child Care Handbookn/an/aspanish versionenglish versionadd to cart
CCS-950Child Care Assistance Applicationn/aonline versionspanish versionenglish versionadd to cart
CCS-970Child Care Services Request For Paymentn/aonline versionn/aenglish versionadd to cart
DSS-CCSRate Declaration Formn/an/an/aenglish versionadd to cart
OLA 03Office of Licensing and Accreditation Brochuren/an/an/aenglish versionadd to cart
OLA-100Background Screening Information Authorizationn/aonline versionn/an/an/a
OLA-101Orientation Training Verification Formn/aonline versionn/an/an/a
OLA-102Application for Admission to Child Caren/aonline versionn/an/an/a
OLA-103Child Care Declaration of Prior Criminal Conviction and Military Historyn/aonline versionn/an/an/a
OLA-104Daily Attendance Form n/aonline versionn/an/an/a
OLA-105Family Day Care Training Recordn/aonline versionn/an/an/a
OLA-106Family Day Care Immunization Affidavit n/aonline versionn/an/an/a
OLA-107Medication Administration Formn/aonline versionn/an/an/a
OLA-108Parent Agreementn/aonline versionn/an/an/a
OLA-109Serious Incident Report Formn/aonline versionn/an/an/a
OLA-110Family Day Care Helper Application n/aonline versionn/an/an/a
OLA-111Family Day Care Helper Reference Formn/aonline versionn/an/an/a
OLA-112Procedures for Identifying CA/N n/aonline versionn/an/an/a
OLA-113FDC Emergency Preparedness Plann/aonline versionn/an/an/a

Child Protection Services

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPSProvider Mileage Requestn/aonline versionn/an/an/a
CPSBackground Information for Voluntary Termination of Parental Rightsn/aonline versionn/an/an/a
CPSICPC Financial and Medical Plann/aonline versionn/an/an/a
CPSPotential Placement Statementn/aonline versionn/an/an/a
CPSDesignated Tribal Agent Request Formn/aonline versionn/an/an/a
CPSDesignated Tribal Agent Request for Change of Addressn/aonline versionn/an/an/a
CPS 01Child Protection Services Bookletn/an/aspanish versionenglish versionadd to cart
CPS 03Safe Havens Brochuren/an/an/aenglish versionadd to cart
CPS 07Independent Living Program Education and Training Voucher Brochuren/an/aspanish versionenglish versionadd to cart
CPS 10Independent Living Program Brochuren/an/aspanish versionenglish versionadd to cart
CPS 13Young Voices Brochuren/an/an/aenglish versionadd to cart
CPS 14Young Voices Handbookn/an/an/aenglish versionadd to cart
CPS 23Safe Havens Postern/an/an/aenglish versionadd to cart
CPS-100Independent Living Program Education and Training Voucher instructionsonline versionn/an/an/a
CPS-100AFACIS Interstate Compact: Placement Request Forminstructionsonline versionn/an/an/a
CPS-100BFACIS Interstate Compact: Report on Child Placementinstructionsonline versionn/an/an/a
CPS-500Newborn Medical Report for Voluntary Termination of Parental Rightsn/aonline versionn/an/an/a
CPS-522Request for Paymentn/aonline versionn/aenglish versionadd to cart

Child Support

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
DCS 01Child Support Modification Handbookn/an/an/aenglish versionadd to cart
DCS 03Income & Wage Withholding Brochuren/an/an/aenglish versionadd to cart
DCS 04National Medical Support Notice Brochuren/an/an/aenglish versionadd to cart
DCS 06Voluntary Paternity Establishment Handbook and Formn/an/aspanish versionenglish versionadd to cart
DCS 08Child Support Parent Handbookn/an/an/aenglish versionadd to cart
SE 408CPApplication and Agreement for Services - Custodial Parent and/or Caretakern/an/an/aenglish versionadd to cart
SE 408NCPApplication and Agreement for Services - Non-Custodial Parent n/an/an/aenglish versionadd to cart
SE-405Application for Income Withholding Only Servicen/an/an/aenglish versionadd to cart
SE-406Application for Location Only Servicesn/an/an/aenglish versionadd to cart
SE-415Petition for Modification Formn/an/an/aenglish versionadd to cart
SE-431AChild Support Payment Authorization Formn/an/an/aenglish versionadd to cart
SE-492Notice of Shared Medical Expensesn/an/an/aenglish versionadd to cart

General

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
EA 11Weatherization Assistance Brochuren/an/aspanish versionenglish versionadd to cart
EA 12Energy Assistance Brochuren/an/aspanish versionenglish versionadd to cart
EA-297Energy Assistance Applicationinstructionsn/aspanish versionenglish versionadd to cart
EA-298Weatherization Applicationn/an/aspanish versionenglish versionadd to cart
EA-301MAChildren and Family Medical Assistance Supplemental Application n/an/aspanish versionenglish versionadd to cart
ENERGYVendor Information: Direct Depositinstructionsonline versionn/an/an/a
ENERGY-927Vendor Information: Vendor Claim Forminstructionsonline versionn/an/an/a

General Social Service Documents

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
DSS 06Discrimination Complaint Brochuren/an/an/aenglish versionadd to cart
DSS 07Discrimination Complaint Postern/an/an/aenglish versionadd to cart
DSS 08Notice of Privacy Brochuren/an/aspanish versionenglish versionadd to cart
DSS 09DSS Handbookn/an/an/aenglish versionadd to cart
DSS-W9W-9 Formn/an/an/aenglish versionadd to cart
EA 01Energy Saving Tipsn/an/an/aenglish versionadd to cart
EA 15Emergency Services for SD Flyern/an/an/aenglish versionadd to cart
EA 18Long-Term Care Partnership Brochuren/an/an/aenglish versionadd to cart
EA 19Guide to Assistance Handbookn/an/an/aenglish versionadd to cart
EA-301Economic Assistance Applicationn/aonline versionspanish versionenglish versionadd to cart
EA-310Form for Reporting Changesn/an/aspanish versionenglish versionadd to cart

Medical Eligibility

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
EA 05Medicare Savings Program Brochuren/an/aspanish versionenglish versionadd to cart
EA 08Medicaid Spousal Care Handbookn/an/an/aenglish versionadd to cart
EA 14CHIP Rack Cardn/an/aspanish versionenglish versionadd to cart
EA 16Medical Assistance for Children and Families: IHS Specificn/an/an/aenglish versionadd to cart
EA 23CHIP Postern/an/an/aenglish versionadd to cart
EA-208Authorization to Furnish / Release Informationn/an/aspanish versionenglish versionadd to cart
EA-240Application for Resource Assessment, Long Term Care or Related Medical Assistancen/an/aspanish versionenglish versionadd to cart
EA-240DApplication for Medical Assistance for Workers with Disabilitiesn/an/an/aenglish versionadd to cart
EA-243Application for Chronic Renal Disease Programn/aonline versionn/an/an/a
EA-249Disabled Children's Program Applicationn/an/an/aenglish versionadd to cart
EA-265Request for Long-Term Care or Home Community Based Services Waiver Assistancen/an/an/aenglish versionadd to cart
EA-270Medicare Savings Program Applicationn/an/aspanish versionenglish versionadd to cart
EA-320Self-Employment Ledgern/an/aspanish versionenglish versionadd to cart
EAFSSAChildren and Family Medical Assistance Applicationn/an/aspanish versionenglish versionadd to cart
MS 01Medical Assistance Program Recipient Handbookn/an/aspanish versionenglish versionadd to cart

Medical Services

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
MS 01Medical Assistance Program Recipient Handbookn/an/aspanish versionenglish versionadd to cart
MS 02Provider Selection Rack Cardn/an/an/aenglish versionadd to cart
MS 03Well-Child Care Brochuren/an/aspanish versionenglish versionadd to cart
MS 04Medicaid Non-Emergency Medical Travel Brochuren/an/an/aenglish versionadd to cart
MS 05Well Visit Rack Card n/an/an/aenglish versionadd to cart
MS 06Health Home Brochuren/an/an/aenglish versionadd to cart
MS 07Premium Assistance Rack Cardn/an/aspanish versionenglish versionadd to cart
MS 08Constituent Liaison Services Brochuren/an/an/aenglish versionadd to cart
MS 09Money Follows the Person Brochuren/an/an/aenglish versionadd to cart
MS 10Medicaid Pregnancy Handbookn/an/an/aenglish versionadd to cart
MS 11Medical Equipment Recycle Reuse Brochuren/an/an/aenglish versionadd to cart
MS 12Well Child Postern/an/an/aenglish versionadd to cart
MS 15Well Visit Postern/an/an/aenglish versionadd to cart
MS 18Constituent Liaison Services Postern/an/an/aenglish versionadd to cart
MS-100Recipient Forms: HIPAA Privacy Consent Formn/aonline versionn/an/an/a
MS-102Provider Selection Formn/aonline versionn/aenglish versionadd to cart
MS-103Provider Change Formn/aonline versionn/aenglish versionadd to cart
MS-112Primary Care Provider Program Reminders - Emergency Roomn/aonline versionn/an/an/a
MS-113Dental At-Risk Referral Formn/aonline versionn/an/an/a
MS-114South Dakota Medicaid Pre-Orthodontic Certification Formn/aonline versionn/an/an/a
MS-115South Dakota Medicaid Handicapping Labio-Langual Deviations Form (HLD Index)n/aonline versionn/an/an/a
MS-116Medicaid Credit Balance Report Formn/aonline versionn/an/an/a
MS-117Hysterectomy Acknowledgement of Informationn/aonline versionn/an/an/a
MS-118Medicaid Transportation Documentation Formn/aonline versionn/an/an/a
MS-119Certificate of Medical Necessityn/aonline versionn/an/an/a
MS-120Transportation Exceptions Formn/aonline versionn/an/an/a
MS-121Hospice Notificationn/aonline versionn/an/an/a
MS-122Health Home Selection and Change Formn/aonline versionn/an/an/a
MS-123Health Home Decline to Participate Formn/aonline versionn/an/an/a
MS-124Community Mental Health Center Health Home Referral Formn/aonline versionn/an/an/a
MS-125Health Home Referral Formn/aonline versionn/an/an/a
MS-126Health Home Manual Tiering Document n/aonline versionn/an/an/a
MS-127Health Home Applicationn/aonline versionn/an/an/a
MS-128Health Home Application Attestationn/aonline versionn/an/an/a
MS-146Sterilization Consent Formn/aonline versionspanish versionn/an/a
NEMT-950Recipient Forms: Medicaid Non-Emergency Medical Travel (NEMT) Reimbursement Formn/aonline versionn/an/an/a
NEMT-952Medicaid Non-Emergency Travel (NEMT) Payment Authorization Formn/aonline versionspanish versionn/an/a
NEMT-964Non-Emergency Medical Travel (NEMT) HIPAA Authorizationn/aonline versionn/an/an/a
PA-100Prior Authorization Forms: Generaln/aonline versionn/an/an/a
PA-101Prior Authorization Forms: Durable Medical Equipment and Nutritionn/aonline versionn/an/an/a
PA-102Prior Authorization Forms: Applied Behavior Analysis Therapyn/aonline versionn/an/an/a
PA-103Prior Authorization Forms: Synagisn/aonline versionn/an/an/a
PA-104Prior Authorization Forms: Private Duty Nursing & Extended Home Health Servicesn/aonline versionn/an/an/a
PA-105Prior Authorization Forms: Out-of-State Servicesn/aonline versionn/an/an/a
PA-106Prior Authorization Forms: Genetic Testing n/aonline versionn/an/an/a
PA-107Prior Authorization Forms: BRCAn/aonline versionn/an/an/a
PA-108Prior Authorization Form: Incontinence Supply Family Support 360 Waivern/aonline versionn/an/an/a
PA-109Prior Authorization Form: Incontinence Supply Supply HOPE Waivern/aonline versionn/an/an/a
PA-110Prior Authorization Form: Incontinence Supply ADLS Support 360 Waivern/aonline versionn/an/an/a
PA-111Prior Authorization Form: Incontinence Supply CHOICES Waivern/aonline versionn/an/an/a
PA-112Prior Authorization Form: Long Term Acute Care and Out-of-State Rehabn/aonline versionn/an/an/a
PA-113Prior Authorization Form: Medical Nutritionn/aonline versionn/an/an/a

Parent Education

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPS 02Common Sense Parenting Brochuren/an/aspanish versionenglish versionadd to cart
CPS-1053Common Sense Parenting Annual Report Formn/aonline versionn/an/an/a
CPS-1054Common Sense Parenting Program Vouchern/aonline versionn/an/an/a

Recoveries and Fraud

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
ORFI-831Estate Recovery Notification of Death Formn/aonline versionn/an/an/a
ORFI-832Estate Recovery Program Petition for Limitationn/aonline versionn/an/an/a
ORFI-833Report Benefit Fraudn/aonline versionn/an/an/a
RE 03Estate Recovery Program Brochuren/an/an/aenglish versionadd to cart
RE 04Medicaid Liens Brochuren/an/an/aenglish versionadd to cart
RE 05Stop Benefit Fraud Insertn/an/an/aenglish versionadd to cart

SNAP (Food Stamps)

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
EA 02SNAP Brochuren/an/aspanish versionenglish versionadd to cart
EA 09SNAP Shoppers Guiden/an/an/aenglish versionadd to cart
EA 10SNAP for Studentsn/an/an/aenglish versionadd to cart
EA 22SNAP Notice of Rights Postern/an/an/aenglish versionadd to cart
EA-208Authorization to Furnish / Release Informationn/an/aspanish versionenglish versionadd to cart
EA-214SNAP 6 Month Report Formn/an/aspanish versionenglish versionadd to cart
EA-269Child Care Expense Billing Informationn/aonline versionn/an/an/a
EA-301SNAP Applicationn/aonline versionspanish versionenglish versionadd to cart
EA-305Boarding School-Institution Documentationn/an/an/aenglish versionadd to cart
EA-307SNAP Exit Formn/an/an/aenglish versionadd to cart
EA-307GSNAP Group Home Exit Formn/an/an/aenglish versionadd to cart
EA-320Self-Employment Ledgern/an/aspanish versionenglish versionadd to cart
EA-324Wage Verificationn/an/an/aenglish versionadd to cart
EA-345Affidavit for SNAP Work Registrantsn/an/an/aenglish versionadd to cart
EA-345AAffidavit for SNAP Work Registrants (Employment & Training)n/an/an/aenglish versionadd to cart
EA-347Application for Social Security Numbern/aonline versionn/aenglish versionadd to cart
OS-954Client Authorized Debit for Repayment of Overissuancen/an/an/aenglish versionadd to cart

South Dakota EBT

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
EBT 01EBT Client Handbookn/an/aspanish versionenglish versionadd to cart

Temporary Assistance for Needy Families

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CC-975TANF Child Care Benefits Applicationn/an/an/aenglish versionadd to cart
EA 04TANF Brochuren/an/aspanish versionenglish versionadd to cart
EA-208Authorization to Furnish / Release Informationn/an/aspanish versionenglish versionadd to cart
EA-214TANF 6 Month Report Formn/an/aspanish versionenglish versionadd to cart
EA-231Child Support Enforcement Referraln/an/an/aenglish versionadd to cart
EA-260Statement of Earningsn/aonline versionn/an/an/a
EA-320Self-Employment Ledgern/aonline versionspanish versionenglish versionadd to cart