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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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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditEA-265Request for Long-Term Care or Home Community Based Services Waiver AssistanceDelete
1EditEA 19Guide to Assistance HandbookDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditBH 16Pregnancy Alcohol FlyerDelete
1EditCPS 09Adoption Subsidy Program Delete
1EditMS 05Well Visit Rack Card Delete
1EditEA-320Self-Employment LedgerDelete
1EditBHAO15AVOID OPIOID – Opioid Medications and Your PetsDelete
1EditMS 11Medical Equipment Recycle Reuse BrochureDelete
1EditDCS 03Income & Wage Withholding BrochureDelete
1EditCPS 11Central Registry BrochureDelete
1EditEA 15Emergency Services for SD FlyerDelete
1EditBHSPB03Bethe1SD - Referral CardDelete
1EditCCS-950Child Care Assistance ApplicationDelete
1EditBH 11Supported Housing FlyerDelete
1EditEA-320Self-Employment LedgerDelete
1EditMS 07Premium Assistance Rack CardDelete
1EditBHSPB04Bethe1SD - StickerDelete
1EditBHSPR06REACH FOR LIFE – KeychainDelete
1EditCPS 14Young Voices HandbookDelete
1EditBHSPB05Bethe1SD - KeychainDelete
1EditCPS 03Safe Havens BrochureDelete
1EditBHAO22AVOID OPIOID - Vinyl StickerDelete
1EditMS 18Constituent Liaison Services PosterDelete
1EditEA 04TANF BrochureDelete
1EditBHAO01AVOID OPIOID - How to Use Naloxone BrochureDelete
1EditCPS 01Child Protection Services BookletDelete
1EditBH 13Juvenile Justice Reinvestment Initiative FlyerDelete
1EditEA 16Medical Assistance for Children and Families: IHS SpecificDelete
1EditEA-324Wage VerificationDelete
1EditDSS 09DSS HandbookDelete
1EditBH 14Substance Use Prevention Services FlyerDelete
1EditBHAO04AVOID OPIOID - BookletDelete
1EditBHAO24AVOID OPIOID - PensDelete
1EditBHSPR03REACH FOR LIFE BraceletDelete
1EditSE-405Application for Income Withholding Only ServiceDelete
1EditOLA 03Office of Licensing and Accreditation BrochureDelete
1EditEA-347Application for Social Security NumberDelete
1EditBH 15Criminal Justice Initiative FlyerDelete
1EditEA 02SNAP BrochureDelete
1EditMS 02Provider Selection Rack CardDelete
1EditCPS-522Request for PaymentDelete
1EditBHSPB09Bethe1SD Magnetic ClipsDelete
1EditEA-310Form for Reporting ChangesDelete
1EditMS 01Medical Assistance Program Recipient HandbookDelete
1EditEA-298Weatherization ApplicationDelete
1EditEA 18Long-Term Care Partnership BrochureDelete
1EditBHAO07AVOID OPIOID - Trifold Pocket CardDelete
1EditCPS 07Independent Living Program Education and Training Voucher BrochureDelete
1EditSE-408Application and Agreement for Full ServicesDelete
1EditMS 01Medical Assistance Program Recipient HandbookDelete
1EditSE-431AChild Support Payment Authorization FormDelete
1EditEA 22SNAP Notice of Rights PosterDelete
1EditOS-954Client Authorized Debit for Repayment of OverissuanceDelete
1EditBHAO09AVOID OPIOID - Care Coordination BrochureDelete
1EditEA-231Child Support Enforcement ReferralDelete
1EditRE 03Estate Recovery Program BrochureDelete
1EditMS 13Behavioral Health ResourcesDelete
1EditEA-297Energy Assistance ApplicationDelete
1EditEA 05Medicare Savings Program BrochureDelete
1EditMS 08Constituent Liaison Services BrochureDelete
1EditCCS 14Choosing Child Care HandbookDelete
1EditSE-406Application for Location Only ServicesDelete
1EditCPS 20Foster Care RealitiesDelete
1EditBHAO14AVOID OPIOID - Resource GuideDelete
1EditBH 01Substance Use Disorder Services BrochureDelete
1EditMS 12Well Child PosterDelete
1EditEA-214SNAP 6 Month Report FormDelete