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List of Documents to be Ordered

CopiesDocument NumberDocument Name
1OLA 03Office of Licensing and Accreditation Brochure
1MS 03Well-Child Care Brochure
1CPS 07Independent Living Program Education and Training Voucher Brochure
1OLA-103Child Care Declaration of Prior Criminal Conviction and Military History
1CPS-100Independent Living Program Education and Training Voucher
1BH 15Criminal Justice Initiative Flyer
1DSS-CCSRate Declaration Form
1EA-301Economic Assistance Application
1CPS-533Adoption Registry Form
1DCS 08Child Support Parent Handbook
1BH 16Pregnancy Alcohol Flyer
1CPS-506Foster/Adoptive Parent Health Report
1OLA 03Office of Licensing and Accreditation Brochure
1RE 04Medicaid Liens Brochure
1EA-208Authorization to Furnish / Release Information
1CPS 20Foster Care Realities
1CPS 05Positive Indian Parenting Brochure
1EA 19Guide to Assistance Handbook
1CPSICPC Financial and Medical Plan
1-To Order Let’s Be Clear Materials
1CPS-100Independent Living Program Education and Training Voucher
1OLA-103Child Care Declaration of Prior Criminal Conviction and Military History
1EA-270Medicare Savings Program Application
1CPS-100Independent Living Program Education and Training Voucher
1EA-270Medicare Savings Program Application
1CPS-100AFACIS Interstate Compact: Placement Request Form
1CPS-100Independent Living Program Education and Training Voucher
1DSS-CCSRate Declaration Form
1EA-270Medicare Savings Program Application
1DCS 06Voluntary Paternity Establishment Handbook and Form
1EA-208Authorization to Furnish / Release Information
1PA-100Prior Authorization Forms: General
1MS-146Sterilization Consent Form