South Dakota Department of Social Services Forms

121
total templates

Documents

121

Form BRO/DCS6S "Voluntary Acknowledgment of Paternity" - South Dakota (English/Spanish)

Rate (4.3 / 5) 6 votes
Size: 1 MB
7 pages

Form BH-04 "102b Hardship Considerations" - South Dakota, 2020

Rate (4.4 / 5) 23 votes
Size: 75 KB
2 pages

Form BH-02 "Financial Eligibility" - South Dakota, 2020

Rate (4.3 / 5) 10 votes
Size: 175 KB
2 pages

Form BH-05 "Refusal of Hardship Consideration" - South Dakota, 2020

Rate (4.8 / 5) 27 votes
Size: 66 KB
1 page

Form BH-03 "102a Hardship Consideration" - South Dakota, 2020

Rate (4.6 / 5) 18 votes
Size: 64 KB
1 page

Form BH-08 "Mental Health - Impact Application" - South Dakota

Rate (4.7 / 5) 18 votes
Size: 143 KB
2 pages

Form DSS-SE-405 "Application for Income Withholding Only Services" - South Dakota

Rate (4.5 / 5) 93 votes
Size: 179 KB
4 pages

Form DSS-EA-265 "Request for Long-Term Care or Home Community Based Services Waiver Assistance" - South Dakota

Rate (4.7 / 5) 22 votes
Size: 170 KB
3 pages

Formulario DSS-EA-208 "Autorizacion Para Proporcionar/Divulgar Informacion" - South Dakota (Spanish)

Rate (4.4 / 5) 30 votes
Size: 195 KB
1 page

Form DSS-EA-240 "Application for Resource Assessment, Long Term Care or Related Medical Assistance" - South Dakota

Rate (4.5 / 5) 48 votes
Size: 1 MB
22 pages

Form DSS-EA-208 "Authorization to Furnish/Release Information" - South Dakota

Rate (4.3 / 5) 20 votes
Size: 157 KB
1 page

Form DSS-EA-270 "South Dakota Application for Medicare Savings Program" - South Dakota

Rate (4.7 / 5) 41 votes
Size: 1 MB
8 pages

Form DSS-EA-249 "Disabled Children's Program Application" - South Dakota

Rate (4.4 / 5) 28 votes
Size: 1 MB
20 pages

Form BH-11A "Substance Use Disorder Outcome Tool - Initial" - South Dakota

Rate (4.5 / 5) 13 votes
Size: 230 KB
3 pages

Form BH-11B "Adult Substance Use Disorder Update Outcome Tool" - South Dakota

Rate (4.5 / 5) 21 votes
Size: 242 KB
3 pages

Form BH-11C "Adult Substance Use Disorder Discharge Outcome Tool" - South Dakota

Rate (4.4 / 5) 27 votes
Size: 263 KB
4 pages

Form BH-12E "Youth Mh Update Outcome Tool" - South Dakota

Rate (4.3 / 5) 35 votes
Size: 236 KB
3 pages

Form BH-12F "Youth Mh Discharge Outcome Tool" - South Dakota

Rate (4.7 / 5) 16 votes
Size: 236 KB
3 pages

Form BH-13E "Family Mh Update Outcome Tool" - South Dakota

Rate (4.5 / 5) 16 votes
Size: 232 KB
3 pages

Form BH-13F "Family Mh Discharge Outcome Tool" - South Dakota

Rate (4.3 / 5) 14 votes
Size: 232 KB
3 pages

Form BH-13A "Family Sud Initial Outcome Tool" - South Dakota

Rate (4.4 / 5) 32 votes
Size: 261 KB
3 pages

Form BH-12B "Youth Sud Update Outcome Tool" - South Dakota

Rate (4.6 / 5) 18 votes
Size: 261 KB
3 pages

Form BH-12A "Youth Sud Initial Outcome Tool" - South Dakota

Rate (4.8 / 5) 17 votes
Size: 264 KB
3 pages

Form BH-12C "Youth Sud Discharge Outcome Tool" - South Dakota

Rate (4.4 / 5) 33 votes
Size: 284 KB
4 pages

Form BH-13B "Family Sud Update Outcome Tool" - South Dakota

Rate (4.3 / 5) 16 votes
Size: 260 KB
3 pages

Form BH-13C "Family Sud Discharge Outcome Tool" - South Dakota

Rate (4.4 / 5) 20 votes
Size: 283 KB
4 pages

Form DSS-CC-950 "Child Care Services Assistance Application" - South Dakota

Rate (4.4 / 5) 35 votes
Size: 182 KB
9 pages

Form DSS-CC-975 "Child Care Benefits Application for TANF Approved Activities and Employment" - South Dakota

Rate (4.5 / 5) 20 votes
Size: 157 KB
2 pages

Form DSS-CP-504 "Present Danger Plan" - South Dakota

Rate (4.4 / 5) 15 votes
Size: 157 KB
4 pages

Form DSS-EA-320 "Self-employment Ledger" - South Dakota

Rate (4.7 / 5) 11 votes
Size: 30 KB
2 pages

Form DSS-EA-231 "Child Support Enforcement Referral" - South Dakota

Rate (4.5 / 5) 20 votes
Size: 184 KB
2 pages

Form DSS-CP-593 "South Dakota Permission to Screen for Reports of Abuse or Neglect" - South Dakota

Rate (4.5 / 5) 88 votes
Size: 137 KB
2 pages

Form DSS-EA-301 "Economic Assistance Application" - South Dakota

Rate (4.5 / 5) 23 votes
Size: 1 MB
20 pages

Formulario DSS-EA-301 "Solicitud De Asistencia Economica" - South Dakota (Spanish)

Rate (4.6 / 5) 9 votes
Size: 1 MB
17 pages

Form DSS-EA-345 "Affidavit for Supplemental Nutrition Assistance Program (Snap) Work Registrants" - South Dakota

Rate (4.8 / 5) 6 votes
Size: 21 KB
1 page

Form DSS-EA-310 "Medical Assistance/TANF Change Report Form" - South Dakota

Rate (4.5 / 5) 24 votes
Size: 30 KB
2 pages

Form DSS-EA-324 "Wage Verification" - South Dakota

Rate (4.3 / 5) 14 votes
Size: 52 KB
2 pages