Copies | Edit the Number of Copies | Document Number | Document Name | Delete |
1 | Edit | EA-208 | Authorization to Furnish / Release Information | Delete |
1 | Edit | EA-265 | Request for Long-Term Care or Home Community Based Services Waiver Assistance | Delete |
1 | Edit | EA 19 | Guide to Assistance Handbook | Delete |
1 | Edit | DSS 08 | Notice of Privacy Brochure | Delete |
1 | Edit | MS 15 | Well Visit Poster | Delete |
1 | Edit | EBT 01 | EBT Client Handbook | Delete |
1 | Edit | EA-214 | TANF 6 Month Report Form | Delete |
1 | Edit | BH 16 | Pregnancy Alcohol Flyer | Delete |
1 | Edit | CCS | Electronic Payment Exemptions | Delete |
1 | Edit | BHSPB02 | Bethe1SD - Flyer | Delete |
1 | Edit | BHSPRKIT | REACH FOR LIFE Toolkit | Delete |
1 | Edit | DSS 03 | Administrative Hearings Brochure | Delete |
1 | Edit | BH 10 | South Dakota Community Mental Health Center Flyer | Delete |
1 | Edit | CPS 10 | Independent Living Program Brochure | Delete |
1 | Edit | MS 05 | Well Visit Rack Card | Delete |
1 | Edit | EA-320 | Self-Employment Ledger | Delete |
1 | Edit | BHAO15 | AVOID OPIOID – Opioid Medications and Your Pets | Delete |
1 | Edit | DCS 03 | Income & Wage Withholding Brochure | Delete |
1 | Edit | EA 01 | Energy Saving Tips | Delete |
1 | Edit | EA-240D | Application for Medical Assistance for Workers with Disabilities | Delete |
1 | Edit | CPS 11 | Central Registry Brochure | Delete |
1 | Edit | EA 15 | Emergency Services for SD Flyer | Delete |
1 | Edit | MS 09 | Money Follows the Person Brochure | Delete |
1 | Edit | CCS | Payment Authorization Form | Delete |
1 | Edit | BHSPB03 | Bethe1SD - Referral Card | Delete |
1 | Edit | BHAO16 | AVOID OPIOD - Naloxone Postcard | Delete |
1 | Edit | BH 12 | Substance Use Disorder Services Flyer | Delete |
1 | Edit | EA 14 | CHIP Rack Card | Delete |
1 | Edit | CCS-950 | Child Care Assistance Application | Delete |
1 | Edit | DCS 04 | National Medical Support Notice Brochure | Delete |
1 | Edit | CPS 23 | Safe Havens Poster | Delete |
1 | Edit | EA-320 | Self-Employment Ledger | Delete |
1 | Edit | CPS 14 | Young Voices Handbook | Delete |
1 | Edit | CC-975 | TANF Child Care Benefits Application | Delete |
1 | Edit | EA-240 | Application for Resource Assessment, Long Term Care or Related Medical Assistance | Delete |
1 | Edit | CPS 03 | Safe Havens Brochure | Delete |
1 | Edit | CPS 13 | Young Voices Brochure | Delete |
1 | Edit | MS 18 | Constituent Liaison Services Poster | Delete |
1 | Edit | DCS 06 | Voluntary Paternity Establishment Handbook and Form | Delete |
1 | Edit | EA-301MA | Children and Family Medical Assistance Supplemental Application | Delete |
1 | Edit | CPS 02 | Common Sense Parenting Brochure | Delete |
1 | Edit | CCS 06 | Child Care Assistance Program Brochure | Delete |
1 | Edit | EA 04 | TANF Brochure | Delete |
1 | Edit | BHSPB06 | Bethe1SD - Pen | Delete |
1 | Edit | CPS 01 | Child Protection Services Booklet | Delete |
1 | Edit | BH 13 | Juvenile Justice Reinvestment Initiative Flyer | Delete |
1 | Edit | EA 23 | CHIP Poster | Delete |
1 | Edit | EA 16 | Medical Assistance for Children and Families: IHS Specific | Delete |
1 | Edit | EA-324 | Wage Verification | Delete |
1 | Edit | BHAO23 | AVOID OPIOID - Note Pads | Delete |
1 | Edit | BH 04 | Substance Use Disorder Involuntary Commitment Process | Delete |
1 | Edit | BHAO02 | AVOID OPIOID - ASAM National Practice Guideline Spiral Book | Delete |
1 | Edit | BHSPB07 | Bethe1SD - Wristband | Delete |
1 | Edit | EA-249 | Disabled Children's Program Application | Delete |
1 | Edit | DSS 09 | DSS Handbook | Delete |
1 | Edit | BH 14 | Substance Use Prevention Services Flyer | Delete |
1 | Edit | BHAO04 | AVOID OPIOID - Booklet | Delete |
1 | Edit | EA 09 | SNAP Shoppers Guide | Delete |
1 | Edit | BHAO24 | AVOID OPIOID - Pens | Delete |
1 | Edit | SE-405 | Application for Income Withholding Only Service | Delete |
1 | Edit | OLA 03 | Office of Licensing and Accreditation Brochure | Delete |
1 | Edit | EA-347 | Application for Social Security Number | Delete |
1 | Edit | BHSPB08 | Bethe1SD - Bag | Delete |
1 | Edit | BH 05 | Intensive Methamphetamine Treatment Services | Delete |
1 | Edit | BH 15 | Criminal Justice Initiative Flyer | Delete |
1 | Edit | BHAO05 | AVOID OPIOID - Referral Card | Delete |
1 | Edit | EA 02 | SNAP Brochure | Delete |
1 | Edit | MS 02 | Provider Selection Rack Card | Delete |
1 | Edit | CPS-522 | Request for Payment | Delete |
1 | Edit | CPS-504 | Present Danger Plan | Delete |
1 | Edit | EA-320 | Self-Employment Ledger | Delete |
1 | Edit | EA-310 | Form for Reporting Changes | Delete |
1 | Edit | EA-305 | Boarding School-Institution Documentation | Delete |
1 | Edit | BHAO06 | AVOID OPIOID - Project Briefs | Delete |
1 | Edit | BHSPL02 | LGBTQ – Always Help Unisex Poster | Delete |
1 | Edit | EA 10 | SNAP for Students | Delete |
1 | Edit | MS 01 | Medical Assistance Program Recipient Handbook | Delete |
1 | Edit | EA-301 | SNAP Application | Delete |
1 | Edit | EA-298 | Weatherization Application | Delete |
1 | Edit | EA 11 | Weatherization Assistance Brochure | Delete |
1 | Edit | EA 18 | Long-Term Care Partnership Brochure | Delete |
1 | Edit | BHSPL01 | LGBTQ – Always Hope Boy Poster | Delete |
1 | Edit | SE-415 | Petition for Modification Form | Delete |
1 | Edit | EA-270 | Medicare Savings Program Application | Delete |
1 | Edit | BHAO07 | AVOID OPIOID - Trifold Pocket Card | Delete |
1 | Edit | RE 04 | Medicaid Liens Brochure | Delete |
1 | Edit | MS-103 | Provider Change Form | Delete |
1 | Edit | SE-492 | Notice of Shared Medical Expenses | Delete |
1 | Edit | CPS 07 | Independent Living Program Education and Training Voucher Brochure | Delete |
1 | Edit | EA 12 | Energy Assistance Brochure | Delete |
1 | Edit | SE-408 | Application and Agreement for Full Services | Delete |
1 | Edit | MS 06 | Health Home Brochure | Delete |
1 | Edit | MS 04 | Medicaid Non-Emergency Medical Travel Brochure | Delete |
1 | Edit | MS 01 | Medical Assistance Program Recipient Handbook | Delete |
1 | Edit | MS-102 | Provider Selection Form | Delete |
1 | Edit | BHSPM01 | MILITARY – Light Blue Poster | Delete |
1 | Edit | SE-431A | Child Support Payment Authorization Form | Delete |
1 | Edit | DSS 06 | Discrimination Complaint Brochure | Delete |
1 | Edit | EA 22 | SNAP Notice of Rights Poster | Delete |
1 | Edit | MS 03 | Well-Child Care Brochure | Delete |
1 | Edit | BHMC05 | METH – Small Magnet | Delete |
1 | Edit | OS-954 | Client Authorized Debit for Repayment of Overissuance | Delete |
1 | Edit | DSS-CCS | Rate Declaration Form | Delete |
1 | Edit | BHSPM02 | MILITARY – Green Poster | Delete |
1 | Edit | EA-231 | Child Support Enforcement Referral | Delete |
1 | Edit | RE 03 | Estate Recovery Program Brochure | Delete |
1 | Edit | EA 08 | Medicaid Spousal Care Handbook | Delete |
1 | Edit | CCS-970 | Child Care Services Request For Payment | Delete |
1 | Edit | CCS | Pathways to Professional Development - Career Lattice Application Form | Delete |
1 | Edit | EA-297 | Energy Assistance Application | Delete |
1 | Edit | BHAO10 | AVOID OPIOID - Mat Brochure | Delete |
1 | Edit | CCS | Pathways to Professional Development - Renewal Application | Delete |
1 | Edit | EAFSSA | Children and Family Medical Assistance Application | Delete |
1 | Edit | EA 05 | Medicare Savings Program Brochure | Delete |
1 | Edit | MS 08 | Constituent Liaison Services Brochure | Delete |
1 | Edit | CPS 19 | Foster Care Brochure | Delete |
1 | Edit | CCS 14 | Choosing Child Care Handbook | Delete |
1 | Edit | SE-406 | Application for Location Only Services | Delete |
1 | Edit | BHSP03 | SUICIDE PREVENTION - Suicide Facts | Delete |
1 | Edit | DCS 08 | Child Support Parent Handbook | Delete |
1 | Edit | EA-208 | Authorization to Furnish / Release Information | Delete |
1 | Edit | CPS 20 | Foster Care Realities | Delete |
1 | Edit | EA-307G | SNAP Group Home Exit Form | Delete |
1 | Edit | BH 01 | Substance Use Disorder Services Brochure | Delete |
1 | Edit | CCS 09 | SD Child Safety Seat Brochure | Delete |
1 | Edit | MS 12 | Well Child Poster | Delete |
1 | Edit | EA-214 | SNAP 6 Month Report Form | Delete |
1 | Edit | BHSP01 | SUICIDE PREVENTION – Business Card | Delete |
1 | Edit | CPS 04 | Mandatory Reporting Brochure | Delete |