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-265	Request for Long-Term Care or Home Community Based Services Waiver Assistance	Delete
1	Edit	EA 19	Guide to Assistance Handbook	Delete
1	Edit	EA-214	TANF 6 Month Report Form	Delete
1	Edit	BH 16	Pregnancy Alcohol Flyer	Delete
1	Edit	CPS 09	Adoption Subsidy Program	Delete
1	Edit	MS 05	Well Visit Rack Card	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	BHAO15	AVOID OPIOID – Opioid Medications and Your Pets	Delete
1	Edit	MS 11	Medical Equipment Recycle Reuse Brochure	Delete
1	Edit	DCS 03	Income & Wage Withholding Brochure	Delete
1	Edit	CPS 11	Central Registry Brochure	Delete
1	Edit	EA 15	Emergency Services for SD Flyer	Delete
1	Edit	BHSPB03	Bethe1SD - Referral Card	Delete
1	Edit	CCS-950	Child Care Assistance Application	Delete
1	Edit	BH 11	Supported Housing Flyer	Delete
1	Edit	EA-320	Self-Employment Ledger	Delete
1	Edit	MS 07	Premium Assistance Rack Card	Delete
1	Edit	BHSPB04	Bethe1SD - Sticker	Delete
1	Edit	BHSPR06	REACH FOR LIFE – Keychain	Delete
1	Edit	CPS 14	Young Voices Handbook	Delete
1	Edit	BHSPB05	Bethe1SD - Keychain	Delete
1	Edit	CPS 03	Safe Havens Brochure	Delete
1	Edit	BHAO22	AVOID OPIOID - Vinyl Sticker	Delete
1	Edit	MS 18	Constituent Liaison Services Poster	Delete
1	Edit	EA 04	TANF Brochure	Delete
1	Edit	BHAO01	AVOID OPIOID - How to Use Naloxone Brochure	Delete
1	Edit	CPS 01	Child Protection Services Booklet	Delete
1	Edit	BH 13	Juvenile Justice Reinvestment Initiative Flyer	Delete
1	Edit	EA 16	Medical Assistance for Children and Families: IHS Specific	Delete
1	Edit	EA-324	Wage Verification	Delete
1	Edit	DSS 09	DSS Handbook	Delete
1	Edit	BH 14	Substance Use Prevention Services Flyer	Delete
1	Edit	BHAO04	AVOID OPIOID - Booklet	Delete
1	Edit	BHAO24	AVOID OPIOID - Pens	Delete
1	Edit	BHSPR03	REACH FOR LIFE Bracelet	Delete
1	Edit	SE-405	Application for Income Withholding Only Service	Delete
1	Edit	OLA 03	Office of Licensing and Accreditation Brochure	Delete
1	Edit	EA-347	Application for Social Security Number	Delete
1	Edit	BH 15	Criminal Justice Initiative Flyer	Delete
1	Edit	EA 02	SNAP Brochure	Delete
1	Edit	MS 02	Provider Selection Rack Card	Delete
1	Edit	CPS-522	Request for Payment	Delete
1	Edit	BHSPB09	Bethe1SD Magnetic Clips	Delete
1	Edit	EA-310	Form for Reporting Changes	Delete
1	Edit	MS 01	Medical Assistance Program Recipient Handbook	Delete
1	Edit	EA-298	Weatherization Application	Delete
1	Edit	EA 18	Long-Term Care Partnership Brochure	Delete
1	Edit	BHAO07	AVOID OPIOID - Trifold Pocket Card	Delete
1	Edit	CPS 07	Independent Living Program Education and Training Voucher Brochure	Delete
1	Edit	SE-408	Application and Agreement for Full Services	Delete
1	Edit	MS 01	Medical Assistance Program Recipient Handbook	Delete
1	Edit	SE-431A	Child Support Payment Authorization Form	Delete
1	Edit	EA 22	SNAP Notice of Rights Poster	Delete
1	Edit	OS-954	Client Authorized Debit for Repayment of Overissuance	Delete
1	Edit	BHAO09	AVOID OPIOID - Care Coordination Brochure	Delete
1	Edit	EA-231	Child Support Enforcement Referral	Delete
1	Edit	RE 03	Estate Recovery Program Brochure	Delete
1	Edit	MS 13	Behavioral Health Resources	Delete
1	Edit	EA-297	Energy Assistance Application	Delete
1	Edit	EA 05	Medicare Savings Program Brochure	Delete
1	Edit	MS 08	Constituent Liaison Services Brochure	Delete