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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-208Authorization to Furnish / Release InformationDelete
1EditEA-265Request for Long-Term Care or Home Community Based Services Waiver AssistanceDelete
1EditDSS 08Notice of Privacy BrochureDelete
1EditMS 15Well Visit PosterDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditMS 05Well Visit Rack Card Delete
1EditEA 01Energy Saving TipsDelete
1EditEA 15Emergency Services for SD FlyerDelete
1EditCCS-950Child Care Assistance ApplicationDelete
1EditEA-320Self-Employment LedgerDelete
1EditCPS 13Young Voices BrochureDelete
1EditCPS 01Child Protection Services BookletDelete
1EditBH 13Juvenile Justice Reinvestment Initiative FlyerDelete
1EditBH 04Substance Use Disorder Involuntary Commitment ProcessDelete
1EditEA-249Disabled Children's Program ApplicationDelete
1EditBH 14Substance Use Prevention Services FlyerDelete
1EditBH 15Criminal Justice Initiative FlyerDelete
1EditSE 408NCPApplication and Agreement for Services - Non-Custodial Parent Delete
1EditMS 02Provider Selection Rack CardDelete
1EditEA-320Self-Employment LedgerDelete
1EditHSC01Mental Health Wellness and Recovery Phone Apps BrochureDelete
1EditEA 11Weatherization Assistance BrochureDelete
1EditEA-270Medicare Savings Program ApplicationDelete
1EditCPS 07Independent Living Program Education and Training Voucher BrochureDelete
1EditEA 12Energy Assistance BrochureDelete
1EditMS-102Provider Selection FormDelete
1EditRE 03Estate Recovery Program BrochureDelete
1EditCCSPathways to Professional Development - Career Lattice Application FormDelete