Lynne A. Valenti
Cabinet Secretary

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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
1EditBRO/EBT1EBT Client HandbookDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditMS-146Sterilization Consent FormDelete
1EditMISC/BH1South Dakota Community Mental Health Center FlyerDelete
1EditBRO/CPS11Central Registry of Child Abuse & NeglectDelete
1EditBRO/DCS4National Medical Support Notice Brochure - An Employers GuideDelete
1EditPAPrior Authorization Forms: Applied Behavior Analysis TherapyDelete
1EditPosterConstituent Liaison Services PosterDelete
1EditBH-08Mental Health - IMPACT ApplicationDelete
1EditBRO/DCS6Voluntary Paternity Establishment Handbook and FormDelete
1EditCCS-964Child Care Declaration of Prior Criminal Conviction and Military HistoryDelete
1EditBRO/CPS2Common Sense Parenting BrochureDelete
1EditCPSProvider Mileage RequestDelete
1EditBRO/EA4TANF Work Program BrochureDelete
1EditCCS-964Child Care Declaration of Prior Criminal Conviction and Military HistoryDelete
1EditEA-231Child Support Enforcement ReferralDelete
1EditCPS-500Newborn Medical Report for Voluntary Termination of Parental RightsDelete
1EditCPS-508Reference Form - Adoption / Foster / Kinship CareDelete
1EditCPSFoster Parent HandbookDelete
1EditBRO/CPS9Adoption Subsidy HandbookDelete
1EditCPS-522Request for PaymentDelete
1EditCPS-593Permission to Screen for Reports of Abuse or NeglectDelete
1EditEAWeatherization ApplicationDelete
1EditBRO/MS3Well-Child Care BrochureDelete
1Edit Recipient Forms: HIPAA Privacy Consent FormDelete
1EditPAPrior Authorization Forms: Genetic Testing Delete
1EditBRO/EACommunity Action Agency HandoutDelete
1EditEA-240Application for Resource Assessment, Long Term Care or Related Medical AssistanceDelete
1EditCCS-970Child Care Services Request For PaymentDelete
1EditBH-17Prevention - Accreditation ApplicationDelete
1EditFSSAChildren and Family Medical Assistance ApplicationDelete
1EditBH-09aIndigent Medication Update-Extension ApplicationDelete
1EditBRO/VS3Crime Victims Compensation Program BrochureDelete
1EditBRO/VS2Domestic Violence BrochureDelete
1EditBH-03102a Hardship Considerations Delete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditCPSPlacement Resource Monthly Reporting Form Ages 0-4Delete
1EditDSS-W9W-9 FormDelete