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List of Documents to be Ordered

CopiesDocument NumberDocument Name
1MS 26BabyReady Poster
1CPS-565Foster Parent Training & Self-Instruction
1DSS-CCSRate Declaration Form
1CPS-533Adoption Registry Form
1EA 23CHIP Poster
1CPS 05Positive Indian Parenting Brochure
1EAFSSAChildren and Family Medical Assistance Application
1MS 07Premium Assistance Rack Card
1CPS-100Independent Living Program Education and Training Voucher
1CPS-522Request for Payment
1EA 09SNAP Shoppers Guide
1EA-301Economic Assistance Application
1MS 02Provider Selection Rack Card
1BH 16Pregnancy Alcohol Flyer
1DCS 08Child Support Parent Handbook
1CPS-100AFACIS Interstate Compact: Placement Request Form
1CCS-970Child Care Services Request For Payment
1OLA 03Office of Licensing and Accreditation Brochure
1DCS 06Voluntary Paternity Establishment Handbook and Form
1BH 15Criminal Justice Initiative Flyer
1ENERGYVendor Information: Direct Deposit
1CPS-506Foster/Adoptive Parent Health Report
1CPS 22Foster Care Handbook
1EA 14CHIP Rack Card
1DSS-CCSRate Declaration Form
1CPS-100AFACIS Interstate Compact: Placement Request Form
1CPS-533Adoption Registry Form
1BH 16Pregnancy Alcohol Flyer
1CPS-522Request for Payment
1CPS 10Independent Living Program Brochure
1EA 09SNAP Shoppers Guide
1ORFI-832Estate Recovery Program Petition for Limitation
1DCS 08Child Support Parent Handbook
1CPS-100Independent Living Program Education and Training Voucher
1EA-301Economic Assistance Application
1NEMT-964Non-Emergency Medical Travel (NEMT) HIPAA Authorization
1CPS 20Foster Care Realities
1EA-240Application for Resource Assessment, Long Term Care or Related Medical Assistance
1PA-103Prior Authorization Forms: Synagis
1EA 23CHIP Poster
1DCS 06Voluntary Paternity Establishment Handbook and Form
1ORFI-832Estate Recovery Program Petition for Limitation
1MS-146Sterilization Consent Form
1OLA 03Office of Licensing and Accreditation Brochure