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Forms and Publications

The Department of Social Services has free forms and publications that can provide you with information and guidance in a number of important areas.

This page can help you find the information you need in the following ways:

  Order Online Some forms are available to fill out and submit online. The remaining online forms can be filled out on your computer, printed and mailed.
  Download You can download any form or publication on this page by clicking on the download button.
  Add to Cart There’s a simple “Shopping Cart” that allows you to place an order for free forms and publications. These documents will then be mailed to you at no cost.
Instructions Instructions are available (Click on icon to view)

If you would like to order any form or publication in English, please click on Forms Only, Publications Only or All. The shopping cart will automatically default to the English version of the form or publication.

If you would like to order any form or publication in Spanish, please click on Documentos en Español. You will find both forms and publication in Spanish in this section. The shopping cart will automatically default to the Spanish version of the form or publication.

Note: Some documents are PDF files and require Adobe Acrobat to open them. If you don’t have Adobe Acrobat, click here to download the latest version.


Forms and Publications Filter:

Document Type: Forms Only | Publications Only | Documentos en Español | All

Service Area:

Abuse and Neglect

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPS 04Mandatory Reporting Brochuren/an/aspanish versionenglish versionadd to cart
CPS 11Central Registry Brochuren/an/aspanish versionenglish versionadd to cart
CPS-504Present Danger Plann/aonline versionn/aenglish versionadd to cart
CPS-593Permission to Screen for Reports of Abuse and Neglectn/aonline versionspanish versionn/an/a

Administrative Hearings

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
DSS 03Administrative Hearings Brochureinstructionsn/an/aenglish versionadd to cart

Adoption and Foster Care

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPS 09Adoption Subsidy Program n/an/an/aenglish versionadd to cart
CPS 19Foster Care Brochuren/an/an/aenglish versionadd to cart
CPS 19NFoster Care Brochure (Native American Theme)n/an/an/aenglish versionadd to cart
CPS 20Foster Care Realitiesn/an/an/aenglish versionadd to cart
CPS 20NFoster Care Realities (Native American Theme)n/an/an/aenglish versionadd to cart
CPS 21Foster Care Myths & Factsn/an/an/aenglish versionadd to cart
CPS 21NFoster Care Myths & Facts (Native American Theme)n/an/an/aenglish versionadd to cart
CPS 22Foster Care Handbookn/aonline versionn/an/an/a
CPS-523Request for Reimbursement of Adoption Home Study Formn/aonline versionn/an/an/a

Behavioral Health

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
BH 04Substance Use Disorder Involuntary Commitment Processn/an/an/aenglish versionadd to cart
BH 05Intensive Methamphetamine Treatment Servicesn/an/an/aenglish versionadd to cart
BH 11Supported Housing Flyern/an/an/aenglish versionadd to cart
BH 13Juvenile Justice Reinvestment Initiative Flyern/an/an/aenglish versionadd to cart
BH 14Substance Use Prevention Services Flyern/an/an/aenglish versionadd to cart
BH 15Criminal Justice Initiative Flyern/an/an/aenglish versionadd to cart
BH 16Pregnancy Alcohol Flyern/an/an/aenglish versionadd to cart
BHAO01AVOID OPIOID - How to Use Naloxone Brochuren/an/an/aenglish versionadd to cart
BHAO02AVOID OPIOID - ASAM National Practice Guideline Spiral Bookn/an/an/aenglish versionadd to cart
BHAO03AVOID OPIOID - A Guide for Patients Spiral Bookn/an/an/aenglish versionadd to cart
BHAO04AVOID OPIOID - Bookletn/an/an/aenglish versionadd to cart
BHAO05AVOID OPIOID - Referral Cardn/an/an/aenglish versionadd to cart
BHAO06AVOID OPIOID - Project Briefsn/an/an/aenglish versionadd to cart
BHAO07AVOID OPIOID - Trifold Pocket Cardn/an/an/aenglish versionadd to cart
BHAO08AVOID OPIOID - Care Coordination Business Cardsn/an/an/aenglish versionadd to cart
BHAO09AVOID OPIOID - Care Coordination Brochuren/an/an/aenglish versionadd to cart
BHAO10AVOID OPIOID - Mat Brochuren/an/an/aenglish versionadd to cart
BHAO11AVOID OPIOID - Open House Resources and Tips for Realtorsn/an/an/aenglish versionadd to cart
BHAO12AVOID OPIOID - Prescription Addiction Business Cardsn/an/an/aenglish versionadd to cart
BHAO13AVOID OPIOID - Statewide Drop-Off Site Postcardsn/an/an/aenglish versionadd to cart
BHAO14AVOID OPIOID - Resource Guiden/an/an/aenglish versionadd to cart
BHAO15AVOID OPIOID – Opioid Medications and Your Petsn/an/an/aenglish versionadd to cart
BHAO16AVOID OPIOD - Naloxone Postcardn/an/an/aenglish versionadd to cart
BHAO22AVOID OPIOID - Vinyl Stickern/an/an/aenglish versionadd to cart
BHAO23AVOID OPIOID - Note Padsn/an/an/aenglish versionadd to cart
BHAO24AVOID OPIOID - Pensn/an/an/aenglish versionadd to cart
BHAO26AVOID OPIOID – Keychainn/an/an/aenglish versionadd to cart
BHMC01METH - I Need Help Rack Cardn/aonline versionn/an/an/a
BHMC02METH – I Want Help Rack Cardn/aonline versionn/an/an/a
BHSP02SUICIDE PREVENTION - Strategic Plann/an/an/aenglish versionadd to cart
BHSP03SUICIDE PREVENTION - Suicide Factsn/an/an/aenglish versionadd to cart
BHSP05SUICIDE PREVENTION - 988 The Newest Three Digit Numbern/an/an/aenglish versionadd to cart

Child Care Services

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CCS 06Child Care Assistance Program Brochuren/an/aspanish versionenglish versionadd to cart
CCS 09SD Child Safety Seat Brochuren/an/aspanish versionenglish versionadd to cart
CCS 10SD Child Development Associate Training Programn/an/an/aenglish versionadd to cart
CCS 14Choosing Child Care Handbookn/an/aspanish versionenglish versionadd to cart
OLA 03Office of Licensing and Accreditation Brochuren/an/an/aenglish versionadd to cart
OLA-102Application for Admission to Child Caren/aonline versionn/an/an/a
OLA-104Daily Attendance Form n/aonline versionn/an/an/a
OLA-105Child Care Provider Training Recordn/aonline versionn/an/an/a
OLA-106Immunization Affidavitn/aonline versionn/an/an/a
OLA-107Medication Administration Formn/aonline versionn/an/an/a
OLA-108Parent Agreementn/aonline versionn/an/an/a
OLA-109Serious Incident Report Formn/aonline versionn/an/an/a
OLA-110Child Care Provider Formn/aonline versionn/an/an/a
OLA-111Emergency Preparedness Drill Logn/aonline versionn/an/an/a
OLA-112Procedures for Identifying CA/N n/aonline versionn/an/an/a
OLA-113Sample Emergency Preparedness Plann/aonline versionn/an/an/a
OLA-114Licensed School Age Care Programs Located in a School - Floor Plan Reviewn/aonline versionn/an/an/a
OLA-116Floor Plan Review Process and Program Proposaln/aonline versionn/an/an/a
OLA-118Written Care Plan for a Child with Allergiesn/aonline versionn/an/an/a

Child Protection Services

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPS 01Child Protection Services Bookletn/an/aspanish versionenglish versionadd to cart
CPS 03Safe Havens Brochuren/an/an/aenglish versionadd to cart
CPS 07Independent Living Program Education and Training Voucher Brochuren/an/aspanish versionenglish versionadd to cart
CPS 10Independent Living Program Brochuren/an/aspanish versionenglish versionadd to cart
CPS 13Young Voices Brochuren/an/an/aenglish versionadd to cart
CPS 14Young Voices Handbookn/an/an/aenglish versionadd to cart
CPS 23Safe Havens Postern/an/an/aenglish versionadd to cart

Child Support

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
DCS 01Child Support Modification Handbookn/an/an/aenglish versionadd to cart
DCS 02A Guide for Teenage Parents Brochuren/aonline versionn/an/an/a
DCS 03Income & Wage Withholding Brochuren/an/an/aenglish versionadd to cart
DCS 04National Medical Support Notice Brochuren/an/an/aenglish versionadd to cart
DCS 05Payment Options Brochuren/an/an/aenglish versionadd to cart
DCS 06Voluntary Paternity Establishment Handbook and Formn/an/aspanish versionenglish versionadd to cart
DCS 08Child Support Parent Handbookn/an/an/aenglish versionadd to cart

General

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
EA 11Weatherization Assistance Brochuren/an/aspanish versionenglish versionadd to cart
EA 12Energy Assistance Brochuren/an/aspanish versionenglish versionadd to cart

General Social Service Documents

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
DSS 06Discrimination Complaint Brochuren/an/an/aenglish versionadd to cart
DSS 07Discrimination Complaint Postern/an/an/aenglish versionadd to cart
DSS 08Notice of Privacy Brochuren/an/aspanish versionenglish versionadd to cart
DSS 09DSS Handbookn/an/an/aenglish versionadd to cart
EA 15Emergency Services for SD Flyern/an/an/aenglish versionadd to cart
EA 18Long-Term Care Partnership Brochuren/an/an/aenglish versionadd to cart
EA 19Guide to Assistance Handbookn/an/aspanish versionenglish versionadd to cart

Medical Eligibility

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
EA 05Medicare Savings Program Brochuren/an/aspanish versionenglish versionadd to cart
EA 08Medicaid Spousal Care Handbookn/an/an/aenglish versionadd to cart
EA 14CHIP Rack Cardn/an/aspanish versionenglish versionadd to cart
EA 16Medical Assistance for Children and Families: IHS Specificn/an/an/aenglish versionadd to cart
EA 23CHIP Postern/an/an/aenglish versionadd to cart
EA-211Authorization to Release Informationn/aonline versionspanish versionn/an/a
EA-340Psychiatric Residential Treatment Facility Referral Formn/aonline versionn/an/an/a
MS 01Medical Assistance Program Recipient Handbookn/an/aspanish versionenglish versionadd to cart

Medical Services

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
MS 01Medical Assistance Program Recipient Handbookn/an/aspanish versionenglish versionadd to cart
MS 02Provider Selection Rack Cardn/an/an/aenglish versionadd to cart
MS 03Well-Child Care Brochuren/an/aspanish versionenglish versionadd to cart
MS 04Medicaid Non-Emergency Medical Travel Brochuren/an/an/aenglish versionadd to cart
MS 05Well Visit Rack Card n/an/an/aenglish versionadd to cart
MS 06Health Home Brochuren/an/an/aenglish versionadd to cart
MS 07Premium Assistance Rack Cardn/an/aspanish versionenglish versionadd to cart
MS 08Constituent Liaison Services Brochuren/an/an/aenglish versionadd to cart
MS 09Money Follows the Person Brochuren/an/an/aenglish versionadd to cart
MS 10Medicaid Pregnancy Handbookn/an/an/aenglish versionadd to cart
MS 11Medical Equipment Recycle Reuse Brochuren/an/an/aenglish versionadd to cart
MS 12Well Child Postern/an/an/aenglish versionadd to cart
MS 13Behavioral Health Resourcesn/an/an/aenglish versionadd to cart
MS 15Well Visit Postern/an/an/aenglish versionadd to cart
MS 18Constituent Liaison Services Postern/an/an/aenglish versionadd to cart
MS-101Advanced Recipient Notice of Non-Coveragen/aonline versionn/an/an/a
MS-112Primary Care Provider Program Reminders - Emergency Roomn/aonline versionn/an/an/a
MS-121Hospice Notificationn/aonline versionn/an/an/a
MS-129Medicaid Attestation Form on the Appropriateness of the Qualified Clinical Trialsn/aonline versionn/an/an/a
MS-130Preadmission Screening and Resident Review (PASRR) Screening Formn/aonline versionn/an/an/a
MS-131Preadmission Hospital Exemption Formn/aonline versionn/an/an/a
MS-132ID/DD Level II Evaluation Formn/aonline versionn/an/an/a
MS-133Pregnancy Program Addendumn/aonline versionn/an/an/a
MS-134Pregnancy Program Applicationn/aonline versionn/an/an/a
MS-135Pregnancy Program Barriers to Care Initiatives n/aonline versionn/an/an/a
MS-136Pregnancy Program Overviewn/aonline versionn/an/an/a
NEMT-953NEMT Primary Care Provider/Health Home Provider Questionnairen/aonline versionn/an/an/a
NEMT-964Non-Emergency Medical Travel (NEMT) HIPAA Authorizationn/aonline versionn/an/an/a
NEMT-970NEMT Reimbursement Form | Day Tripn/aonline versionn/an/an/a
NEMT-971NEMT Reimbursement Form | Overnight Tripn/aonline versionn/an/an/a
NEMT-972NEMT Additional Lodgingn/aonline versionn/an/an/a
NEMT-973NEMT Appointment Verification Formn/aonline versionn/an/an/a
PA-112Prior Authorization Form: Long Term Acute Care and Out-of-State Rehabn/aonline versionn/an/an/a
PA-113Prior Authorization Form: Medical Nutritionn/aonline versionn/an/an/a

Parent Education

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CPS 02Common Sense Parenting Brochuren/an/aspanish versionenglish versionadd to cart
CPS 05Positive Indian Parenting Brochuren/an/an/aenglish versionadd to cart
CPS 15Positive Indian Parenting Flyern/an/an/aenglish versionadd to cart

Recoveries and Fraud

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
RE 03Estate Recovery Program Brochuren/an/an/aenglish versionadd to cart
RE 04Medicaid Liens Brochuren/an/an/aenglish versionadd to cart

South Dakota EBT

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
EBT 01EBT Client Handbookn/an/aspanish versionenglish versionadd to cart

Temporary Assistance for Needy Families

Doc #Document NameInstructionsOnline VersionSpanish VersionEnglish VersionAdd to Cart
CC-975TANF Child Care Benefits Applicationn/an/an/aenglish versionadd to cart
EA 04TANF Brochuren/an/aspanish versionenglish versionadd to cart