Lynne A. Valenti
Cabinet Secretary

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditMSMedicaid Transportation Documentation FormDelete
1EditBH-063rd Party Release of Information (ROI)Delete
1EditEA-269Child Care Expense Billing InformationDelete
1EditMISC/BH1South Dakota Community Mental Health CentersDelete
1EditBRO/EA2SNAP BrochureDelete
1EditBRO/EA11Weatherization Assistance BrochureDelete
1EditPAPrior Authorization Forms: Genetic Testing Delete
1EditSE-406Application for Location Only ServicesDelete
1EditEA-345AAffidavit for SNAP Work Registrants (Employment & Training)Delete
1EditBH-11Mental Health - Adult Outcome ToolDelete
1EditDSS-W9W-9 FormDelete
1EditBRO/CPS16Family Group Conferencing – Family Group Decision Making Delete
1EditCCSPathways to Professional Development - Career Lattice Application FormDelete
1EditBRO/MS3Well-Child Care BrochureDelete
1EditRec and FraudCasualty Settlement Report FormDelete
1EditENERGYVendor Information: Direct DepositDelete
1EditBH-11aAdult SUD Initial Outcome ToolDelete
1EditMSTransportation Exceptions FormDelete
1EditBRO/DCS8Child Support Parent HandbookDelete
1EditBH-11fAdult MH Discharge Outcome ToolDelete
1EditBRO/VS2Domestic Violence BrochureDelete
1EditBRO/DSS3Administrative Hearings BrochureDelete
1EditMSDental Provider ManualDelete
1EditSE-405Application for Income Withholding Only ServiceDelete
1EditBRO/CCS3Registration & Licensure of Child Care EnvironmentsDelete
1EditEA-301Economic Assistance ApplicationDelete