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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
1EditEA 19Guide to Assistance HandbookDelete
1EditDSS 08Notice of Privacy BrochureDelete
1EditMS 15Well Visit PosterDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditBH 16Pregnancy Alcohol FlyerDelete
1EditDSS 03Administrative Hearings BrochureDelete
1EditBH 10South Dakota Community Mental Health Center FlyerDelete
1EditCPS 09Adoption Subsidy Program Delete
1EditCPS 10Independent Living Program BrochureDelete
1EditEA-320Self-Employment LedgerDelete
1EditBHAO15AVOID OPIOID – Opioid Medications and Your PetsDelete
1EditMS 11Medical Equipment Recycle Reuse BrochureDelete
1EditDCS 03Income & Wage Withholding BrochureDelete
1EditEA 01Energy Saving TipsDelete
1EditBHAO26AVOID OPIOID – KeychainDelete
1EditEA 15Emergency Services for SD FlyerDelete
1EditCCSPayment Authorization FormDelete
1EditBHAO16AVOID OPIOD - Naloxone PostcardDelete
1EditBHAO21AVOID OPIOID - Lip BalmDelete
1EditCCS-950Child Care Assistance ApplicationDelete
1EditBH 11Supported Housing FlyerDelete
1EditDCS 04National Medical Support Notice BrochureDelete
1EditCPS 23Safe Havens PosterDelete
1EditEA-320Self-Employment LedgerDelete
1EditCC-975TANF Child Care Benefits ApplicationDelete
1EditDSS 07Discrimination Complaint PosterDelete
1EditBHSPB05Bethe1SD - KeychainDelete
1EditEA-240Application for Resource Assessment, Long Term Care or Related Medical AssistanceDelete
1EditBHSPR07REACH FOR LIFE - Mint TinDelete
1EditCPS 03Safe Havens BrochureDelete
1EditBHAO22AVOID OPIOID - Vinyl StickerDelete
1EditMS 18Constituent Liaison Services PosterDelete
1EditDCS 06Voluntary Paternity Establishment Handbook and FormDelete
1EditEA 04TANF BrochureDelete
1EditBHAO01AVOID OPIOID - How to Use Naloxone BrochureDelete
1EditBHSPB06Bethe1SD - PenDelete
1EditCPS 01Child Protection Services BookletDelete
1EditBH 13Juvenile Justice Reinvestment Initiative FlyerDelete
1EditEA 16Medical Assistance for Children and Families: IHS SpecificDelete
1EditEA-324Wage VerificationDelete
1EditBHAO23AVOID OPIOID - Note PadsDelete
1EditBH 04Substance Use Disorder Involuntary Commitment ProcessDelete
1EditDSS 09DSS HandbookDelete
1EditBH 14Substance Use Prevention Services FlyerDelete
1EditBHAO04AVOID OPIOID - BookletDelete
1EditEA 09SNAP Shoppers GuideDelete
1EditBHAO24AVOID OPIOID - PensDelete
1EditBHSPR03REACH FOR LIFE BraceletDelete
1EditSE-405Application for Income Withholding Only ServiceDelete
1EditEA-347Application for Social Security NumberDelete
1EditBH 05Intensive Methamphetamine Treatment ServicesDelete
1EditBH 15Criminal Justice Initiative FlyerDelete
1EditBHAO05AVOID OPIOID - Referral CardDelete
1EditMS 02Provider Selection Rack CardDelete
1EditCPS-522Request for PaymentDelete
1EditBHSPB09Bethe1SD - Smartphone HolderDelete
1EditCPS-504Present Danger PlanDelete
1EditEA-320Self-Employment LedgerDelete
1EditBHAO06AVOID OPIOID - Project BriefsDelete
1EditBHSPL02LGBTQ – Always Help Unisex PosterDelete
1EditEA 10SNAP for StudentsDelete
1EditMS 01Medical Assistance Program Recipient HandbookDelete
1EditEA-301SNAP ApplicationDelete
1EditEA 11Weatherization Assistance BrochureDelete
1EditBHAO07AVOID OPIOID - Trifold Pocket CardDelete
1EditRE 04Medicaid Liens BrochureDelete
1EditBHSPL03LGBTQ – Always Here Girl PosterDelete
1EditCPS 07Independent Living Program Education and Training Voucher BrochureDelete
1EditEA 12Energy Assistance BrochureDelete
1EditSE-408Application and Agreement for Full ServicesDelete
1EditMS 04Medicaid Non-Emergency Medical Travel BrochureDelete
1EditSE-431AChild Support Payment Authorization FormDelete
1EditEA 22SNAP Notice of Rights PosterDelete
1EditMS 03Well-Child Care BrochureDelete
1EditBHMC05METH – Small MagnetDelete
1EditBHAO09AVOID OPIOID - Care Coordination BrochureDelete
1EditDSS-CCSRate Declaration FormDelete
1EditEA-231Child Support Enforcement ReferralDelete
1EditRE 03Estate Recovery Program BrochureDelete
1EditMS 13Behavioral Health ResourcesDelete
1EditCCSPathways to Professional Development - Career Lattice Application FormDelete