Mobile Menu Button

Order Forms and Publications

Ready to Check Out?

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.

All fields are required.

The information being sent to you is free.

If you want to continue looking for more forms and/or publications, click here.

When entering the number of copies - use only numbers, no commas.

CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditEA 19Guide to Assistance HandbookDelete
1EditEBT 01EBT Client HandbookDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditBH 16Pregnancy Alcohol FlyerDelete
1EditBHSPB02Bethe1SD - FlyerDelete
1EditBHSPRKITREACH FOR LIFE ToolkitDelete
1EditDSS 03Administrative Hearings BrochureDelete
1EditBH 10South Dakota Community Mental Health Center FlyerDelete
1EditCPS 10Independent Living Program BrochureDelete
1EditEA-320Self-Employment LedgerDelete
1EditBHAO15AVOID OPIOID – Opioid Medications and Your PetsDelete
1EditDCS 03Income & Wage Withholding BrochureDelete
1EditEA-240DApplication for Medical Assistance for Workers with DisabilitiesDelete
1EditCPS 11Central Registry BrochureDelete
1EditMS 09Money Follows the Person BrochureDelete
1EditCCSPayment Authorization FormDelete
1EditBHSPB03Bethe1SD - Referral CardDelete
1EditBHAO16AVOID OPIOD - Naloxone PostcardDelete
1EditBH 12Substance Use Disorder Services FlyerDelete
1EditEA 14CHIP Rack CardDelete
1EditDCS 04National Medical Support Notice BrochureDelete
1EditCPS 23Safe Havens PosterDelete
1EditCPS 14Young Voices HandbookDelete
1EditCC-975TANF Child Care Benefits ApplicationDelete
1EditEA-240Application for Resource Assessment, Long Term Care or Related Medical AssistanceDelete
1EditCPS 03Safe Havens BrochureDelete
1EditMS 18Constituent Liaison Services PosterDelete
1EditDCS 06Voluntary Paternity Establishment Handbook and FormDelete
1EditEA-301MAChildren and Family Medical Assistance Supplemental Application Delete
1EditCPS 02Common Sense Parenting BrochureDelete
1EditCCS 06Child Care Assistance Program BrochureDelete
1EditEA 04TANF BrochureDelete
1EditBHSPB06Bethe1SD - PenDelete
1EditEA 23CHIP PosterDelete
1EditEA 16Medical Assistance for Children and Families: IHS SpecificDelete
1EditEA-324Wage VerificationDelete
1EditBHAO23AVOID OPIOID - Note PadsDelete
1EditBHAO02AVOID OPIOID - ASAM National Practice Guideline Spiral BookDelete
1EditBHSPB07Bethe1SD - WristbandDelete
1EditDSS 09DSS HandbookDelete
1EditBHAO04AVOID OPIOID - BookletDelete
1EditEA 09SNAP Shoppers GuideDelete
1EditBHAO24AVOID OPIOID - PensDelete
1EditSE-405Application for Income Withholding Only ServiceDelete
1EditOLA 03Office of Licensing and Accreditation BrochureDelete
1EditEA-347Application for Social Security NumberDelete
1EditBHSPB08Bethe1SD - BagDelete
1EditBH 05Intensive Methamphetamine Treatment ServicesDelete
1EditBHAO05AVOID OPIOID - Referral CardDelete
1EditEA 02SNAP BrochureDelete
1EditCPS-522Request for PaymentDelete
1EditCPS-504Present Danger PlanDelete
1EditEA-310Form for Reporting ChangesDelete
1EditEA-305Boarding School-Institution DocumentationDelete
1EditBHAO06AVOID OPIOID - PacketDelete
1EditRE 05Stop Benefit Fraud InsertDelete
1EditBHSPL02LGBTQ – Always Help Unisex PosterDelete
1EditEA 10SNAP for StudentsDelete
1EditMS 01Medical Assistance Program Recipient HandbookDelete
1EditEA-301SNAP ApplicationDelete
1EditEA-298Weatherization ApplicationDelete
1EditEA 18Long-Term Care Partnership BrochureDelete
1EditBHSPL01LGBTQ – Always Hope Boy PosterDelete
1EditSE-415Petition for Modification FormDelete
1EditBHAO07AVOID OPIOID - Trifold Pocket CardDelete
1EditRE 04Medicaid Liens BrochureDelete
1EditMS-103Provider Change FormDelete
1EditSE-492Notice of Shared Medical ExpensesDelete
1EditSE 408CPApplication and Agreement for Services - Custodial Parent and/or CaretakerDelete