Alaska Department of Health and Social Services Forms

This document is for designating a proxy representative in Alaska, specifically for those who identify as Hmong. It allows someone to appoint someone else to act on their behalf in legal matters and decision-making processes.

This authorization form is used in Alaska to grant permission for the release of personal information. It allows individuals to give consent for their information to be shared with specific individuals or organizations.

This form is used for obtaining authorization to release the remains of a deceased person in the state of Alaska.

This document provides information about the process and requirements for obtaining a death certificate in the state of Alaska. It includes details on who can request a death certificate, the necessary documentation, and the relevant government agencies involved in the issuance of the certificate.

This document request is related to the state of Alaska. It may entail asking for specific documents or information pertaining to Alaska, such as tax records, land ownership records, or birth certificates.

This document is used for declaring travel plans and providing information related to travel in Alaska.

This document is used for requesting authorization to operate taxis and buses under the Early Screening Program in Alaska.

This Form is used for declaring residential habilitation services in Alaska.

This Form is used for applying for certification as a personal care services provider in Alaska.

This form is used for requesting a commemorative certificate for a stillbirth that occurred in Alaska.

This form is used for applying for personal care services in Alaska. It provides instructions on how to complete the PCA-08 initial application.

This form is used to apply for personal care services in Alaska.

This form is used for worker assurances in the state of Alaska. It ensures that workers are provided with appropriate protection and benefits in accordance with state regulations.

This Form is used for requesting prior authorization for hemophilia or bleeding disorder treatment plans under Alaska Medicaid.

This document is used for notifying the transfer of a child in the custody of the Alaska Child and Family Services.

This form is used for filing a complaint in the state of Alaska.

This form is used for tracking and managing clothing inventory in Alaska.

This form is used for submitting a request to appeal a substantiated child abuse or neglect finding in the state of Alaska. It must be submitted through the Office of Administrative Hearings.

This form is used for filing a complaint with the Office of Children's Services (OCS) in Alaska regarding any concerns or issues related to child welfare or protective services.

This form is used for recording medical, dental, and medication information in the state of Alaska. It helps maintain a comprehensive record of an individual's healthcare history.

This Form is used for obtaining clearance in the state of Alaska.

This form is used for reporting damaged or stolen property or personal injury by a resource family in Alaska.

This form is used for reporting incidents, emergencies, accidents, illnesses, and changes in a foster home or foster group home in Alaska.