Forms & Publications :: SD Dept. of Social Services

Cabinet Secretary
Matt Althoff

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Copies	Edit the Number of Copies	Document Number	Document Name	Delete
1	Edit	BH 14	Substance Use Prevention Services Flyer	Delete
1	Edit	MS 03	Well-Child Care Brochure	Delete
1	Edit	EA-214	TANF 6 Month Report Form	Delete
1	Edit	DSS 08	Notice of Privacy Brochure	Delete
1	Edit	EA-301	Economic Assistance Application	Delete
1	Edit	CPS 21N	Foster Care Myths & Facts (Native American Theme)	Delete
1	Edit	CPS 03	Safe Havens Brochure	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	BHAO04	AVOID OPIOID - Booklet	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	CC-975	TANF Child Care Benefits Application	Delete
1	Edit	CPS 07	Independent Living Program Education and Training Voucher Brochure	Delete
1	Edit	SE-492	Notice of Shared Medical Expenses	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	BH 02	Mental Health Services Brochure	Delete
1	Edit	DSS 09	DSS Handbook	Delete
1	Edit	BH 04	Substance Use Disorder Involuntary Commitment Process	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	EA-298	Weatherization Application	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	EA-214	SNAP 6 Month Report Form	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	BRO/VS2	Domestic Violence Brochure	Delete
1	Edit	ORFI-833	Report Benefit Fraud	Delete
1	Edit	ORFI-833	Report Benefit Fraud	Delete
1	Edit	EA 15	Emergency Services for SD Flyer	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	CPS 21	Foster Care Myths & Facts	Delete
1	Edit	EA-347	Application for Social Security Number	Delete
1	Edit	EA-214	TANF 6 Month Report Form	Delete
1	Edit	EA-270	Medicare Savings Program Application	Delete
1	Edit	RE 03	Estate Recovery Program Brochure	Delete
1	Edit	BH 10	South Dakota Community Mental Health Center Flyer	Delete
1	Edit	BH 02	Mental Health Services Brochure	Delete
1	Edit	CPS 02	Common Sense Parenting Brochure	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	OLA 03	Office of Licensing and Accreditation Brochure	Delete
1	Edit	MS 06	Health Home Brochure	Delete
1	Edit	DCS 06	Voluntary Paternity Establishment Handbook and Form	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	EA 08	Medicaid Spousal Care Handbook	Delete
1	Edit	EA 11	Weatherization Assistance Brochure	Delete
1	Edit	CC-975	TANF Child Care Benefits Application	Delete
1	Edit	CPS 10	Independent Living Program Brochure	Delete
1	Edit	CPS-504	Present Danger Plan	Delete
1	Edit	BH 04	Substance Use Disorder Involuntary Commitment Process	Delete
1	Edit	CCS-950	Child Care Assistance Application	Delete
1	Edit	CPS 07	Independent Living Program Education and Training Voucher Brochure	Delete
1	Edit	MS 07	Premium Assistance Rack Card	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	CPS-500	Newborn Medical Report for Voluntary Termination of Parental Rights	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	CCS-950	Child Care Assistance Application	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	OS-954	Client Authorized Debit for Repayment of Overissuance	Delete
1	Edit	DSS 09	DSS Handbook	Delete
1	Edit	MS 13	Behavioral Health Resources	Delete
1	Edit	CPS 21N	Foster Care Myths & Facts (Native American Theme)	Delete
1	Edit	EA 04	TANF Brochure	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	MS 15	Well Visit Poster	Delete
1	Edit	BH 13	Juvenile Justice Reinvestment Initiative Flyer	Delete
1	Edit	BHAO05	AVOID OPIOID - Referral Card	Delete
1	Edit	BHAO14	AVOID OPIOID - Resource Guide	Delete
1	Edit	EBT 01	EBT Client Handbook	Delete
1	Edit	MS 02	Provider Selection Rack Card	Delete
1	Edit	EA 18	Long-Term Care Partnership Brochure	Delete
1	Edit	CPS 14	Young Voices Handbook	Delete
1	Edit	DSS 08	Notice of Privacy Brochure	Delete
1	Edit	EA 05	Medicare Savings Program Brochure	Delete
1	Edit	MS 01	Medical Assistance Program Recipient Handbook	Delete
1	Edit	CCS 06	Child Care Assistance Program Brochure	Delete
1	Edit	MS 01	Medical Assistance Program Recipient Handbook	Delete
1	Edit	MS 03	Well-Child Care Brochure	Delete
1	Edit	MS 08	Constituent Liaison Services Brochure	Delete
1	Edit	EA 23	CHIP Poster	Delete
1	Edit	BHAO09	AVOID OPIOID - Care Coordination Brochure	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	CCS 14	Choosing Child Care Handbook	Delete
1	Edit	DSS 09	DSS Handbook	Delete
1	Edit	EA 05	Medicare Savings Program Brochure	Delete
1	Edit	CPS 20	Foster Care Realities	Delete
1	Edit	BH 04	Substance Use Disorder Involuntary Commitment Process	Delete
1	Edit	CCS 10	SD Child Development Associate Training Program	Delete
1	Edit	BHAO05	AVOID OPIOID - Referral Card	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	SE-408	Application and Agreement for Full Services	Delete
1	Edit	CCS	Pathways to Professional Development - Career Lattice Application Form	Delete
1	Edit	BHAO22	AVOID OPIOID - Vinyl Sticker	Delete
1	Edit	MS 04	Medicaid Non-Emergency Medical Travel Brochure	Delete
1	Edit	BH 16	Pregnancy Alcohol Flyer	Delete
1	Edit	SE-492	Notice of Shared Medical Expenses	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	DSS 09	DSS Handbook	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	EBT 01	EBT Client Handbook	Delete
1	Edit	EA 23	CHIP Poster	Delete
1	Edit	CCS 06	Child Care Assistance Program Brochure	Delete
1	Edit	CCS-970	Child Care Services Request For Payment	Delete
1	Edit	CCS 14	Choosing Child Care Handbook	Delete
1	Edit	SE-431A	Child Support Payment Authorization Form	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	EA-208	Authorization to Furnish / Release Information	Delete
1	Edit	CPS 11	Central Registry Brochure	Delete
1	Edit	EA-298	Weatherization Application	Delete
1	Edit	EA-231	Child Support Enforcement Referral	Delete
1	Edit	MS 05	Well Visit Rack Card	Delete
1	Edit	BH 05	Intensive Methamphetamine Treatment Services	Delete
1	Edit	EA 02	SNAP Brochure	Delete
1	Edit	EA 23	CHIP Poster	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	DCS 04	National Medical Support Notice Brochure	Delete
1	Edit	CPS 11	Central Registry Brochure	Delete
1	Edit	CPS 09	Adoption Subsidy Program	Delete
1	Edit	BHAO13	AVOID OPIOID - Statewide Drop-Off Site Postcards	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	EA 22	SNAP Notice of Rights Poster	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	CPS 03	Safe Havens Brochure	Delete
1	Edit	EA 16	Medical Assistance for Children and Families: IHS Specific	Delete
1	Edit	DSS 07	Discrimination Complaint Poster	Delete
1	Edit	CPS 01	Child Protection Services Booklet	Delete
1	Edit	EA-301	Economic Assistance Application	Delete
1	Edit	EA 15	Emergency Services for SD Flyer	Delete
1	Edit	BHAO01	AVOID OPIOID - How to Use Naloxone Brochure	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	CPS 20	Foster Care Realities	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	CCS-970	Child Care Services Request For Payment	Delete
1	Edit	DCS 08	Child Support Parent Handbook	Delete
1	Edit	CPS 11	Central Registry Brochure	Delete
1	Edit	EA 04	TANF Brochure	Delete
1	Edit	MS 12	Well Child Poster	Delete
1	Edit	CPS 13	Young Voices Brochure	Delete
1	Edit	EA 12	Energy Assistance Brochure	Delete
1	Edit	BH 15	Criminal Justice Initiative Flyer	Delete
1	Edit	BHAO04	AVOID OPIOID - Booklet	Delete
1	Edit	EA 01	Energy Saving Tips	Delete
1	Edit	EA-310	Form for Reporting Changes	Delete
1	Edit	EA-265	Request for Long-Term Care or Home Community Based Services Waiver Assistance	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	BH 12	Substance Use Disorder Services Flyer	Delete
1	Edit	MS 15	Well Visit Poster	Delete
1	Edit	EA 23	CHIP Poster	Delete
1	Edit	BH 14	Substance Use Prevention Services Flyer	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	EA-301	SNAP Application	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	CPS-500	Newborn Medical Report for Voluntary Termination of Parental Rights	Delete
1	Edit	DSS 06	Discrimination Complaint Brochure	Delete
1	Edit	CCS 10	SD Child Development Associate Training Program	Delete
1	Edit	ORFI-831	Estate Recovery Notification of Death Form	Delete
1	Edit	EA-214	SNAP 6 Month Report Form	Delete
1	Edit	EA-298	Weatherization Application	Delete
1	Edit	CPS 07	Independent Living Program Education and Training Voucher Brochure	Delete
1	Edit	EA-305	Boarding School-Institution Documentation	Delete
1	Edit	CPS-500	Newborn Medical Report for Voluntary Termination of Parental Rights	Delete
1	Edit	EA 10	SNAP for Students	Delete
1	Edit	EA-208	Authorization to Furnish / Release Information	Delete
1	Edit	CPS 20	Foster Care Realities	Delete
1	Edit	EA-301	SNAP Application	Delete
1	Edit	PA-100	Prior Authorization Forms: General	Delete
1	Edit	EA 15	Emergency Services for SD Flyer	Delete
1	Edit	EA 02	SNAP Brochure	Delete
1	Edit	CCS 09	SD Child Safety Seat Brochure	Delete
1	Edit	EAFSSA	Children and Family Medical Assistance Application	Delete
1	Edit	CPS 21N	Foster Care Myths & Facts (Native American Theme)	Delete
1	Edit	DCS 05	Payment Options Brochure	Delete
1	Edit	EA 14	CHIP Rack Card	Delete
1	Edit	BH 16	Pregnancy Alcohol Flyer	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	MS-121	Hospice Notification	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	EA-265	Request for Long-Term Care or Home Community Based Services Waiver Assistance	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	MS 08	Constituent Liaison Services Brochure	Delete
1	Edit	BHAO22	AVOID OPIOID - Vinyl Sticker	Delete
1	Edit	EA 14	CHIP Rack Card	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	DCS 04	National Medical Support Notice Brochure	Delete
1	Edit	DSS 03	Administrative Hearings Brochure	Delete
1	Edit	CPS 23	Safe Havens Poster	Delete
1	Edit	DSS 03	Administrative Hearings Brochure	Delete
1	Edit	CPS-100A	FACIS Interstate Compact: Placement Request Form	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	MS-120	Transportation Exceptions Form	Delete
1	Edit	BH 13	Juvenile Justice Reinvestment Initiative Flyer	Delete
1	Edit	SE-408	Application and Agreement for Full Services	Delete
1	Edit	EA 18	Long-Term Care Partnership Brochure	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	CCS	Payment Authorization Form	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	DSS-W9	W-9 Form	Delete
1	Edit	CPS	Designated Tribal Agent Request for Change of Address	Delete
1	Edit	CPS 20N	Foster Care Realities (Native American Theme)	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	EA 05	Medicare Savings Program Brochure	Delete
1	Edit	BH 03	Behavioral Health Desk Guide	Delete
1	Edit	BHAO09	AVOID OPIOID - Care Coordination Brochure	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	RE 03	Estate Recovery Program Brochure	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	CCS 14	Choosing Child Care Handbook	Delete
1	Edit	EA 16	Medical Assistance for Children and Families: IHS Specific	Delete
1	Edit	EA-208	Authorization to Furnish / Release Information	Delete
1	Edit	EBT 01	EBT Client Handbook	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	EA 19	Guide to Assistance Handbook	Delete
1	Edit	MS 04	Medicaid Non-Emergency Medical Travel Brochure	Delete
1	Edit	DCS 04	National Medical Support Notice Brochure	Delete
1	Edit	CPS 19N	Foster Care Brochure (Native American Theme)	Delete
1	Edit	CCS	Pathways to Professional Development - Renewal Application	Delete
1	Edit	EA-270	Medicare Savings Program Application	Delete
1	Edit	DCS 01	Child Support Modification Handbook	Delete
1	Edit	CPS 11	Central Registry Brochure	Delete
1	Edit	EA 08	Medicaid Spousal Care Handbook	Delete
1	Edit	DCS 05	Payment Options Brochure	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	MS-121	Hospice Notification	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	CC-975	TANF Child Care Benefits Application	Delete
1	Edit	DCS 05	Payment Options Brochure	Delete
1	Edit	MS 06	Health Home Brochure	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	CPS 02	Common Sense Parenting Brochure	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	EAFSSA	Children and Family Medical Assistance Application	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	CPS 20N	Foster Care Realities (Native American Theme)	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	CPS 20N	Foster Care Realities (Native American Theme)	Delete
1	Edit	MS-118	Medicaid Transportation Documentation Form	Delete
1	Edit	EA 05	Medicare Savings Program Brochure	Delete
1	Edit	EA-265	Request for Long-Term Care or Home Community Based Services Waiver Assistance	Delete
1	Edit	CPS	Background Information for Voluntary Termination of Parental Rights	Delete
1	Edit	CPS 20	Foster Care Realities	Delete
1	Edit	BHAO13	AVOID OPIOID - Statewide Drop-Off Site Postcards	Delete
1	Edit	CPS-508	Reference Form - Adoption / Foster / Kinship Care	Delete
1	Edit	CPS 11	Central Registry Brochure	Delete
1	Edit	DSS 03	Administrative Hearings Brochure	Delete
1	Edit	BH 05	Intensive Methamphetamine Treatment Services	Delete
1	Edit	EA-319	Request for Administrative Hearing	Delete
1	Edit	CPS 04	Mandatory Reporting Brochure	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	BH 01	Substance Use Disorder Services Brochure	Delete
1	Edit	CPS-533	Adoption Registry Form	Delete
1	Edit	CPS-504	Present Danger Plan	Delete
1	Edit	CPS-565	Foster Parent Training & Self-Instruction	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	BH 10	South Dakota Community Mental Health Center Flyer	Delete
1	Edit	MS 08	Constituent Liaison Services Brochure	Delete
1	Edit	EA-347	Application for Social Security Number	Delete
1	Edit	MS-100	Recipient Forms: HIPAA Privacy Consent Form	Delete
1	Edit	CPS 21	Foster Care Myths & Facts	Delete
1	Edit	BH 02	Mental Health Services Brochure	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	BH 04	Substance Use Disorder Involuntary Commitment Process	Delete
1	Edit	CPS-506	Foster/Adoptive Parent Health Report	Delete
1	Edit	CCS	Pathways to Professional Development - Career Lattice Application Form	Delete
1	Edit	EA-270	Medicare Savings Program Application	Delete
1	Edit	MS 04	Medicaid Non-Emergency Medical Travel Brochure	Delete
1	Edit	BH 16	Pregnancy Alcohol Flyer	Delete
1	Edit	DSS 03	Administrative Hearings Brochure	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	EA-240	Application for Resource Assessment, Long Term Care or Related Medical Assistance	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	EA 19	Guide to Assistance Handbook	Delete
1	Edit	BRO/VS1	Sexual Assault Brochure	Delete
1	Edit	CCS	Pathways to Professional Development - Renewal Application	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	EA 15	Emergency Services for SD Flyer	Delete
1	Edit	CPS 21	Foster Care Myths & Facts	Delete
1	Edit	CPS-100A	FACIS Interstate Compact: Placement Request Form	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	DSS 06	Discrimination Complaint Brochure	Delete
1	Edit	CPS-100B	FACIS Interstate Compact: Report on Child Placement	Delete
1	Edit	CPS-100B	FACIS Interstate Compact: Report on Child Placement	Delete
1	Edit	CPS-100B	FACIS Interstate Compact: Report on Child Placement	Delete
1	Edit	CPS-100B	FACIS Interstate Compact: Report on Child Placement	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	CCS 14	Choosing Child Care Handbook	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	EA 05	Medicare Savings Program Brochure	Delete
1	Edit	CCS-950	Child Care Assistance Application	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	CPS	Potential Placement Statement	Delete
1	Edit	RE 04	Medicaid Liens Brochure	Delete
1	Edit	CPS 19	Foster Care Brochure	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	CPS-565	Foster Parent Training & Self-Instruction	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	CPS 01	Child Protection Services Booklet	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	MS 13	Behavioral Health Resources	Delete
1	Edit	DCS 06	Voluntary Paternity Establishment Handbook and Form	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	EA 05	Medicare Savings Program Brochure	Delete
1	Edit	DCS 08	Child Support Parent Handbook	Delete
1	Edit	DSS-W9	W-9 Form	Delete
1	Edit	MS-113	Dental At-Risk Referral Form	Delete
1	Edit	MS 10	Medicaid Pregnancy Handbook	Delete
1	Edit	PA-102	Prior Authorization Forms: Applied Behavior Analysis Therapy	Delete
1	Edit	CCS	Pathways to Professional Development - Career Lattice Application Form	Delete
1	Edit	PA-102	Prior Authorization Forms: Applied Behavior Analysis Therapy	Delete
1	Edit	BHAO04	AVOID OPIOID - Booklet	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	DCS 01	Child Support Modification Handbook	Delete
1	Edit	MS 04	Medicaid Non-Emergency Medical Travel Brochure	Delete