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	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	BH 02	Mental Health Services Brochure	Delete
1	Edit	EA 08	Medicaid Spousal Care Handbook	Delete
1	Edit	MS 25	BabyReady Rackcard	Delete
1	Edit	-	To Order Let’s Be Clear Materials	Delete
1	Edit	BH 16	Pregnancy Alcohol Flyer	Delete
1	Edit	CPS 15	Positive Indian Parenting Flyer	Delete
1	Edit	BH 24	Behavioral Health Resources Flyer	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	MS 07	Premium Assistance Rack Card	Delete
1	Edit	CPS-100	Independent Living Program Education and Training Voucher	Delete
1	Edit	BH 24	Behavioral Health Resources Flyer	Delete
1	Edit	CPS 10	Independent Living Program Brochure	Delete
1	Edit	EA-208	Authorization to Furnish / Release Information	Delete
1	Edit	BH 15	Criminal Justice Initiative Flyer	Delete
1	Edit	BH 16	Pregnancy Alcohol Flyer	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	OLA 03	Office of Licensing and Accreditation Brochure	Delete
1	Edit	EA-208	Authorization to Furnish / Release Information	Delete
1	Edit	DCS 08	Child Support Parent Handbook	Delete
1	Edit	BH 13	Juvenile Justice Reinvestment Initiative Flyer	Delete
1	Edit	CPS-100	Independent Living Program Education and Training Voucher	Delete
1	Edit	EA 19	Guide to Assistance Handbook	Delete
1	Edit	CPS-565	Foster Parent Training & Self-Instruction	Delete
1	Edit	CPS 20	Foster Care Realities	Delete
1	Edit	BH 24	Behavioral Health Resources Flyer	Delete
1	Edit	ENERGY	Vendor Information: Direct Deposit	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	OLA 03	Office of Licensing and Accreditation Brochure	Delete
1	Edit	CPS 05	Positive Indian Parenting Brochure	Delete
1	Edit	EAFSSA	Children and Family Medical Assistance Application	Delete
1	Edit	EA-307G	SNAP Group Home Exit Form	Delete
1	Edit	MS 26	BabyReady Poster	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	CPS-100	Independent Living Program Education and Training Voucher	Delete
1	Edit	CPS-100A	FACIS Interstate Compact: Placement Request Form	Delete
1	Edit	EA-307G	SNAP Group Home Exit Form	Delete
1	Edit	CCS-970	Child Care Services Request For Payment	Delete
1	Edit	SE-415	Petition for Modification Form	Delete
1	Edit	MS 07	Premium Assistance Rack Card	Delete
1	Edit	CPS 20	Foster Care Realities	Delete
1	Edit	MS-100	Recipient Forms: HIPAA Privacy Consent Form	Delete
1	Edit	CPS 10	Independent Living Program Brochure	Delete
1	Edit	BH 24	Behavioral Health Resources Flyer	Delete
1	Edit	NEMT-964	Non-Emergency Medical Travel (NEMT) HIPAA Authorization	Delete
1	Edit	EA 23	CHIP Poster	Delete
1	Edit	PA-108	Prior Authorization Form: Incontinence Supply All Waivers	Delete
1	Edit	MS-146	Sterilization Consent Form	Delete
1	Edit	MS 26	BabyReady Poster	Delete
1	Edit	CPS-565	Foster Parent Training & Self-Instruction	Delete
1	Edit	EA 09	SNAP Shoppers Guide	Delete
1	Edit	CCS-970	Child Care Services Request For Payment	Delete
1	Edit	EA-270	Medicare Savings Program Application	Delete
1	Edit	ENERGY	Vendor Information: Direct Deposit	Delete
1	Edit	BH 24	Behavioral Health Resources Flyer	Delete