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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
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditEA-265Request for Long-Term Care or Home Community Based Services Waiver AssistanceDelete
1EditBRODSS08Notice of Privacy BrochureDelete
1EditPOSMS05Well Visit PosterDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditBRODSS03Administrative Hearings BrochureDelete
1EditFLYRBH01South Dakota Community Mental Health Center FlyerDelete
1EditBROMS05Well Visit Rack Card Delete
1EditMS-146Sterilization Consent FormDelete
1EditBROEA01Energy Saving TipsDelete
1EditFLYREA15Emergency Services for SD FlyerDelete
1EditCCSPayment Authorization FormDelete
1EditEA-345AAffidavit for SNAP Work Registrants (Employment & Training)Delete
1EditCCS-950Child Care Assistance ApplicationDelete
1EditNEMT-952Medicaid Non-Emergency Travel (NEMT) Payment Authorization FormDelete
1EditEA-320Self-Employment LedgerDelete
1EditEA-260Statement of EarningsDelete
1EditBROCPS03Safe Havens BrochureDelete
1EditBROCPS13Young Voices BrochureDelete
1EditBROCCS06Child Care Assistance Program BrochureDelete
1EditBROEA04TANF BrochureDelete
1EditHDBKCPS01Child Protection Services BookletDelete
1EditFLYRBH04Juvenile Justice Reinvestment Initiative FlyerDelete
1EditPOSEA03CHIP PosterDelete
1EditBROEA16Medical Assistance for Children and Families: IHS SpecificDelete
1EditBROBH04Substance Use Disorder Involuntary Commitment ProcessDelete
1EditEA-249Disabled Children's Program ApplicationDelete
1EditHDBKDSS09DSS HandbookDelete
1EditFLYRBH05Substance Use Prevention Services FlyerDelete
1EditEA-347Application for Social Security NumberDelete
1EditFLYRBH06Criminal Justice Initiative FlyerDelete
1EditSE408NCPApplication and Agreement for Services - Non-Custodial Parent Delete
1EditBROMS02Provider Selection Rack CardDelete
1EditCPS-522Request for PaymentDelete
1EditEA-320Self-Employment LedgerDelete
1EditBROHSC01Mental Health Wellness and Recovery Phone Apps BrochureDelete
1EditEA-305Boarding School-Institution DocumentationDelete
1EditHDBKMS01Medical Assistance Program Recipient HandbookDelete
1EditEA-301SNAP ApplicationDelete
1EditEA-298Weatherization ApplicationDelete
1EditBROEA11Weatherization Assistance BrochureDelete
1EditSE-415Petition for Modification FormDelete
1EditEA-270Medical Savings Program ApplicationDelete
1EditBROCPS07Independent Living Program Education and Training Voucher BrochureDelete
1EditBROEA12Energy Assistance BrochureDelete
1EditSE408CPApplication and Agreement for Services - Custodial Parent and/or CaretakerDelete
1EditMS-102Provider Selection FormDelete
1EditSE-431AChild Support Payment Authorization FormDelete
1EditBROMS03Well-Child Care BrochureDelete
1EditOS-954Client Authorized Debit for Repayment of OverissuanceDelete
1EditBRORE03Estate Recovery Program BrochureDelete
1EditEA-319Request for Administrative HearingDelete
1EditCCS-970Child Care Services Request For PaymentDelete
1EditCCSPathways to Professional Development - Career Lattice Application FormDelete
1EditEA-297Energy Assistance ApplicationDelete
1EditCCSPathways to Professional Development - Renewal ApplicationDelete