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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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When entering the number of copies - use only numbers, no commas. Max number of copies is 99.

CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditEA-310Form for Reporting ChangesDelete
1EditEA-301SNAP ApplicationDelete
1EditDCS 05Payment Options BrochureDelete
1EditDSS 06Discrimination Complaint BrochureDelete
1EditBH 16Pregnancy Alcohol FlyerDelete
1EditMS 18Constituent Liaison Services PosterDelete
1EditEA-320Self-Employment LedgerDelete
1EditEA-214SNAP 6 Month Report FormDelete
1EditEA-301Economic Assistance ApplicationDelete
1EditDSS 07Discrimination Complaint PosterDelete
1EditEA 02SNAP BrochureDelete
1EditBH 12Substance Use Disorder Services FlyerDelete
1EditMS 02Provider Selection Rack CardDelete
1EditEA-270Medicare Savings Program ApplicationDelete
1EditCPS 04Mandatory Reporting BrochureDelete
1EditEA-320Self-Employment LedgerDelete
1EditBH 13Juvenile Justice Reinvestment Initiative FlyerDelete
1EditCPS 05Positive Indian Parenting BrochureDelete
1EditCCS-970Child Care Services Request For PaymentDelete
1EditDCS 06Voluntary Paternity Establishment Handbook and FormDelete
1EditCPS-522Request for PaymentDelete
1EditDCS 08Child Support Parent HandbookDelete
1EditCPS 19Foster Care BrochureDelete
1EditMS 03Well-Child Care BrochureDelete
1EditBH 01Substance Use Disorder ServicesDelete
1EditEA-320Self-Employment LedgerDelete
1EditEAFSSAChildren and Family Medical Assistance ApplicationDelete
1EditEA-214TANF 6 Month Report FormDelete