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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-265Request for Long-Term Care or Home Community Based Services Waiver AssistanceDelete
1EditEBT 01EBT Client HandbookDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditBH 10South Dakota Community Mental Health Center FlyerDelete
1EditCPS 10Independent Living Program BrochureDelete
1EditCPS 11Central Registry BrochureDelete
1EditEA 15Emergency Services for SD FlyerDelete
1EditCC-975TANF Child Care Benefits ApplicationDelete
1EditEA-240Application for Resource Assessment, Long Term Care or Related Medical AssistanceDelete
1EditCPS 03Safe Havens BrochureDelete
1EditDCS 06Voluntary Paternity Establishment Handbook and FormDelete
1Edit-To Order Let’s Be Clear MaterialsDelete
1EditDSS 09DSS HandbookDelete
1EditEA 09SNAP Shoppers GuideDelete
1EditEA 02SNAP BrochureDelete
1EditRE 03Estate Recovery Program BrochureDelete
1EditEA 05Medicare Savings Program BrochureDelete
1EditBH 02Mental Health Services BrochureDelete
1EditMS 15Well Visit PosterDelete
1EditDSS 03Administrative Hearings BrochureDelete
1EditCPS 09Adoption Subsidy Program Delete
1EditMS 05Well Visit Rack Card Delete
1EditMS 18Constituent Liaison Services PosterDelete
1EditCPS 02Common Sense Parenting BrochureDelete
1EditCPS 15Positive Indian Parenting FlyerDelete
1EditEA 12Energy Assistance BrochureDelete
1EditEAFSSAChildren and Family Medical Assistance ApplicationDelete
1EditMS 12Well Child PosterDelete
1EditEA-214SNAP 6 Month Report FormDelete
1EditCPS 04Mandatory Reporting BrochureDelete