Oklahoma Department of Human Services skip navigationOKDHS Header Image with Agency Logo OK.gov - Oklahoma’s Official Web site
Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org

OKDHS Home
Programs/Services
Online Services
Library
OKDHS Local
Careers
Divisions/Offices
Contact Us

 

Learn about the Oklahoma 2-1-1 Advisory Collaborative, which is committed to the implementation of single points of entry to health and human services across Oklahoma


Visit the U.S. Government's Official Web Portal for all government transactions, services, and information for federal, state, local, and tribal governments

Last Updated:  11/12/2009
Search OK.gov
Calendar | Help | Contact Us | About this Site
OKDHS Home > Library > Forms > Forms and Applications for Services
Library: Forms
OKDHS Forms
To view these forms, please choose the associated icon under the View column. In order to view the forms correctly, site guests may need additional software. In some cases, forms are saved as .pdf or .doc files. To take full advantage of the OKDHS content, get the latest versions of Adobe Acrobat Reader or Microsoft Word Viewer from the Downloads and Plug-ins page.
Formas
27 forms found     
View Form No.Results shown in ascending orderLegacy No.Form Name Category
Open Adult Day Services Referral/Application (.doc, 3 pp, 715 KB)Open Adult Day Services Referral/Application (.pdf, 3 pp, 184 KB)Open Adult Day Services Referral/Application Instructions (.pdf, 1 pp, 13 KB)
02AS003E
ADS-RA-1Adult Day Services Referral/ApplicationApplications  
Open Ombudsman Volunteer Application (.doc, 2 pp, 677 KB)Open Ombudsman Volunteer Application (.pdf, 2 pp, 157 KB)
02OM003E
SUOA-S-77Ombudsman Volunteer ApplicationApplications  
Open Application for Child Support Services (.doc, 18 pp, 1.6 MB)Open Application for Child Support Services (.pdf, 18 pp, 735 KB)
03EN001E
CSED-001Application for Child Support ServicesApplications  
Open Bridge Resource Family Assessment Application (.doc, 4 pp, 868 KB)Open Bridge Resource Family Assessment Application (.pdf, 4 pp, 324 KB)Open Bridge Resource Family Assessment Application Instructions (.pdf, 1 pp, 19 KB)
04AF001E
DCFS-026Bridge Resource Family Assessment ApplicationApplications  
Open Confidential Intermediary Certification Application (.doc, 4 pp, 744 KB)Open Confidential Intermediary Certification Application (.pdf, 4 pp, 195 KB)
04CI009E
DCFS-24Confidential Intermediary Certification ApplicationApplications  
Open Application for Child Welfare Child Care Benefits (.doc, 6 pp, 1.1 MB)Open Application for Child Welfare Child Care Benefits (.pdf, 6 pp, 300 KB)
04MP042E
N/AApplication for Child Welfare Child Care BenefitsApplications  
Open Family Support Assistance Payment Services Application (.doc, 3 pp, 963 KB)Open Family Support Assistance Payment Services Application (.pdf, 3 pp, 253 KB)
06DA031E
DDS-031Family Support Assistance Payment Services ApplicationApplications  
Open Request for Developmental Disabilities Services (.doc, 5 pp, 1.1 MB)Open Request for Developmental Disabilities Services (.pdf, 5 pp, 277 KB)
06MP001E
DDS-1Request for Developmental Disabilities ServicesApplications  
Open Request for Child Care Center Star Certification (.doc, 6 pp, 1.1 MB)Open Request for Child Care Center Star Certification (.pdf, 6 pp, 278 KB)
07LC025E
OCC-025Request for Child Care Center Star CertificationApplications  
Open Request for Family Child Care Home Star Certification (.doc, 4 pp, 281 KB)Open Request for Family Child Care Home Star Certification (.pdf, 4 pp, 218 KB)
07LC027E
OCC-027Request for Family Child Care Home Star CertificationApplications  
Open Application for Disaster Food Benefit Assistance (.doc, 1 pp, 167 KB)Open Application for Disaster Food Benefit Assistance (.pdf, 1 pp, 79 KB)
08FB030E
N/AApplication for Disaster Food Benefit AssistanceApplications  
Open Low Income Home Energy Assistance - Walk-in Application (.doc, 4 pp, 761 KB)Open Low Income Home Energy Assistance - Walk-in Application (.pdf, 4 pp, 270 KB)Open Low Income Home Energy Assistance - Walk-in Application Instructions (.pdf, 1 pp, 13 KB)
08LH002E
LIHEAP-001-BLow Income Home Energy Assistance - Walk-in Application Applications  
Open Presumptive Eligibility (PE) Budget Sheet (.doc, 4 pp, 693 KB)Open Presumptive Eligibility (PE) Budget Sheet (.pdf, 4 pp, 140 KB)
08MA003E
MA-PE-1Presumptive Eligibility (PE) Budget SheetApplications  
Open Request for Benefits (.doc, 5 pp, 992 KB)Open Request for Benefits (.pdf, 5 pp, 249 KB)
08MP001E
PS-1Request for BenefitsApplications  
Open Confidential Intake Form (.doc, 6 pp, 818 KB)Open Confidential Intake Form (.pdf, 6 pp, 376 KB)
09AI002E
ACIS-2Confidential Intake FormApplications  
Open Application for Employment (.doc, 4 pp, 758 KB)Open Application for Employment (.pdf, 4 pp, 208 KB)Open Application Data Sheet Instructions (.pdf, 1 pp, 25 KB)
11PE012E
P-12Application for EmploymentApplications  
Open Application Supplement (.doc, 2 pp, 903 KB)Open Application Supplement (.pdf, 2 pp, 224 KB)Open Application Supplement Instructions (.pdf, 1 pp, 13 KB)
11PE201E
P-1-DApplication SupplementApplications  
Open Request for a Fair Hearing (.doc, 2 pp, 89 KB)Open Request for a Fair Hearing (.pdf, 2 pp, 140 KB)
13MP001E
H-001Request for a Fair HearingApplications  
Open Office of Client Advocacy Intake Referral (.doc, 2 pp, 210 KB)Open Office of Client Advocacy Intake Referral (.pdf, 2 pp, 212 KB)Open Office of Client Advocacy Intake Referral Instructions (.pdf, 1 pp, 23 KB)
15GN001E
OCA-001Office of Client Advocacy Intake ReferralApplications  
Open Application for Volunteer Service (.doc, 3 pp, 723 KB)Open Application for Volunteer Service (.pdf, 3 pp, 177 KB)
22VL005E
VOL-5Application for Volunteer ServiceApplications  
Open Application for Participation (.doc, 5 pp, 1.4 MB)Open Application for Participation (.pdf, 5 pp, 213 KB)
23CD004E
SNP-S-002Application for ParticipationApplications  
Open Application to Serve (.doc, 3 pp, 762 KB)Open Application to Serve (.pdf, 3 pp, 308 KB)
24DC001E
ODDC-1Application to ServeApplications  
Open Application for Participants (.doc, 6 pp, 1.2 MB)Open Application for Participants (.pdf, 6 pp, 332 KB)
24DC007E
ODDC-007Application for ParticipantsApplications  
Open Application for Master of Social Work Stipend (.doc, 2 pp, 1.3 MB)Open Application for Master of Social Work Stipend (.pdf, 2 pp, 141 KB)
24ED001E
MSW-001Application for Master of Social Work StipendApplications  
Open Application for Oklahoma Youth Leadership Forum (YLF), Part I (.doc, 3 pp, 732 KB)Open Application for Oklahoma Youth Leadership Forum (YLF), Part I (.pdf, 3 pp, 233 KB)
24YL001E
N/AApplication for Oklahoma Youth Leadership Forum (YLF), Part IApplications  
Open Application for Oklahoma Youth Leadership Forum (YLF), Part II (.doc, 5 pp, 899 KB)Open Application for Oklahoma Youth Leadership Forum (YLF), Part II (.pdf, 5 pp, 205 KB)
24YL002E
N/AApplication for Oklahoma Youth Leadership Forum (YLF), Part IIApplications  
Open Staff Application (.doc, 3 pp, 713 KB)Open Staff Application (.pdf, 3 pp, 218 KB)
24YL006E
YLF-002Staff ApplicationApplications  
   
Street address: Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646