Forms & Publications :: SD Dept. of Social Services

Cabinet Secretary
Matt Althoff

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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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Copies	Edit the Number of Copies	Document Number	Document Name	Delete
1	Edit	CCS	Payment Authorization Form	Delete
1	Edit	EAFSSA	Children and Family Medical Assistance Application	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	CCS-970	Child Care Services Request For Payment	Delete
1	Edit	EA-240	Application for Resource Assessment, Long Term Care or Related Medical Assistance	Delete
1	Edit	EA-301	Economic Assistance Application	Delete
1	Edit	EA-270	Medicare Savings Program Application	Delete
1	Edit	BH 01	Substance Use Disorder Services	Delete
1	Edit	EA-310	Form for Reporting Changes	Delete
1	Edit	EA 01	Energy Saving Tips	Delete
1	Edit	BH 12	Substance Use Disorder Services Flyer	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	EA-214	TANF 6 Month Report Form	Delete
1	Edit	EA-298	Weatherization Application	Delete
1	Edit	BH 10	South Dakota Community Mental Health Center Flyer	Delete
1	Edit	CCS-950	Child Care Assistance Application	Delete
1	Edit	MS 12	Well Child Poster	Delete
1	Edit	CPS 07	Independent Living Program Education and Training Voucher Brochure	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	MS 05	Well Visit Rack Card	Delete
1	Edit	BH 26	Working in Behavioral Health	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	CPS 10	Independent Living Program Brochure	Delete
1	Edit	CCS 09	SD Child Safety Seat Brochure	Delete
1	Edit	EA 16	Medical Assistance for Children and Families: IHS Specific	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	CC-975	TANF Child Care Benefits Application	Delete
1	Edit	MS 06	Health Home Brochure	Delete
1	Edit	EA 11	Weatherization Assistance Brochure	Delete
1	Edit	BH 04	Substance Use Disorder Involuntary Commitment Process	Delete
1	Edit	CPS 11	Central Registry Brochure	Delete
1	Edit	OLA 03	Office of Licensing and Accreditation Brochure	Delete
1	Edit	CPS 21	Foster Care Myths & Facts	Delete
1	Edit	EA 18	Long-Term Care Partnership Brochure	Delete
1	Edit	MS 13	Behavioral Health Resources	Delete
1	Edit	BH 11	Supported Housing Flyer	Delete
1	Edit	BH 14	Substance Use Prevention Services Flyer	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	DSS 08	Notice of Privacy Brochure	Delete