152222
This form is used for creating a Medicaid Income Pension Trust in Oklahoma.
This form is used for providing information about Medicaid estate recovery liens in Oklahoma.
This form is used for creating a service plan for the SSI-DCP program in Oklahoma.
This document is a consent form used in Oklahoma for the disclosure of personal information and appointment of a representative.
This document is used to provide a summary of the social aspects of a patient's medical condition in Oklahoma.
This Form is used for informing pregnant women in Oklahoma about their potential eligibility for Soonercare (Medicaid) benefits. (Spanish version)
This form is used for notifying clients in Oklahoma about their long-term medical care options.
This form is used for individuals in Oklahoma to acknowledge their responsibilities and provide their signature for receiving benefits.
This form is used for notifying the relevant authorities about a patient in a nursing facility in Oklahoma.
This form is used for providing eligibility information for benefits in the state of Oklahoma.
This Form is used to provide information on eligibility for benefits in Oklahoma. It is written in Spanish.
This document is a Medicaid Computation Worksheet specifically for the state of Oklahoma. It is used to calculate eligibility for Medicaid benefits.
This document is used for reporting a physician's examination in the state of Oklahoma.
This Form is used for managing recipient's funds in Oklahoma.
This Form is used for documenting the rights, responsibilities, and signature for benefits in Oklahoma. It is written in Spanish, and is designated as Formulario 08MP003S (FSS-1-B).
This document is used for completing a citizenship affidavit in the state of Oklahoma.
This form is used for renewing benefits in Oklahoma.
This form is used for requesting authorization for someone to represent you in Oklahoma.
This Form is used for an Identity Affidavit in the state of Oklahoma. It is used to legally establish the identity of an individual for various purposes.
This form is used for requesting citizenship verification in the state of Oklahoma.
This form is used for applying for a respite voucher for children with special health care needs in Oklahoma.
This form is used for registering to vote in the state of Oklahoma.
This form is used for the physician assessment required for TEFRA (Tax Equity and Fiscal Responsibility Act) in Oklahoma.
This Form is used for providing an important notice about how lump sum payments can affect TANF benefits in Oklahoma.
This form is used for gathering information about the non-custodial parent in Oklahoma. It helps in maintaining records and facilitating communication regarding child support and visitation.
This document is used for cooperation between two parties and requesting good cause in Oklahoma.
This form is used for notifying individuals in Oklahoma of the closure or denial of a lump sum payment.
This form is used for reporting a good cause in the state of Oklahoma.
This form is used for obtaining an immunization certificate of exemption in the state of Oklahoma.
This Form is used for creating a repayment agreement in the state of Oklahoma. It outlines the terms and conditions for repaying a debt or financial obligation.
This Form is used for submitting a reply to continued medical benefits in Oklahoma.
This document is a TANF Work/Personal Responsibility Agreement used in Oklahoma. It outlines the responsibilities of individuals receiving Temporary Assistance for Needy Families (TANF) benefits and their obligations to participate in work-related activities.
This document is for participants of the Subsidized Employment Program in Oklahoma. It outlines the terms and agreements between the participant and the program.
This Form is used for requesting optional in-state event attendance in Oklahoma.
This Form is used for the Nonprofit Participant Agreement in the Work Experience Program in Oklahoma.