Lynne A. Valenti
Cabinet Secretary

DSS Mobile Logo Mobile Menu Button

Order Forms and Publications

Ready to Check Out?

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.

All fields are required.

The information being sent to you is free.

If you want to continue looking for more forms and/or publications, click here.

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

CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditSE408NCPApplication and Agreement for Services - Non-Custodial Parent Delete
1EditBRO/EBT1EBT Client HandbookDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditMS-146Sterilization Consent FormDelete
1EditBRO/CPS11Central Registry of Child Abuse & NeglectDelete
1EditBRO/DCS4National Medical Support Notice Brochure - An Employers GuideDelete
1EditBRO/EA2SNAP BrochureDelete
1EditBRO/CPS7Independent Living Program Education and Training Voucher BrochureDelete
1EditMS-103Provider Change FormDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditBRO/DSS8Notice of Privacy BrochureDelete
1EditPAPrior Authorization Forms: Applied Behavior Analysis TherapyDelete
1EditCPS-565Foster Parent Training & Self-InstructionDelete
1EditBRO/DSS2Constituent Liaison Services BrochureDelete
1EditPosterConstituent Liaison Services PosterDelete
1EditBH-08Mental Health - IMPACT ApplicationDelete
1EditBRO/DCS6Voluntary Paternity Establishment Handbook and FormDelete
1EditBRO/EA12Energy Assistance BrochureDelete
1EditBRO/CPS2Common Sense Parenting BrochureDelete
1EditCPSProvider Mileage RequestDelete
1EditBRO/RE3Estate Recovery Program BrochureDelete
1EditBRO/EA4TANF Work Program BrochureDelete