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Oklahoma Department of Human Services
Oklahoma Department of Human Services
Stronger Families Grow Brighter Futures
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
 
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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

 

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Other Form Links
28 forms found     
View Form No.Results shown in ascending orderLegacy No.Form Name Category
Open Adult Day Services Referral/Application (.doc, 3 pp, 664 KB)Open Adult Day Services Referral/Application (.pdf, 3 pp, 184 KB)Open Adult Day Services Referral/Application Instructions (.pdf, 1 pp, 16 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, 1.7 MB)Open Application for Child Support Services (.pdf, 18 pp, 547 KB)
03EN001E
CSED-1Application for Child Support ServicesApplications  
Open Bridge Resource Family Assessment Application (.pdf, 13 pp, 626 KB)
04AF001E
DCFS-26Bridge Resource Family Assessment ApplicationApplications  
Open Online Bridge Resource Family Assessment Application (.pdf, 13 pp, 626 KB)
04AF036E
N/AOnline Bridge Resource Family Assessment ApplicationApplications  
Open Adoption Assistance Application (.doc, 15 pp, 1.2 MB)Open Adoption Assistance Application (.pdf, 15 pp, 441 KB)
04AN001E
DCFS-54Adoption Assistance ApplicationApplications  
Open Confidential Intermediary Certification Application (.doc, 4 pp, 744 KB)Open Confidential Intermediary Certification Application (.pdf, 4 pp, 216 KB)
04CI009E
DCFS-24Confidential Intermediary Certification ApplicationApplications  
Open Family Support Assistance Payment Services Application (.doc, 3 pp, 951 KB)Open Family Support Assistance Payment Services Application (.pdf, 3 pp, 452 KB)
06DA031E
DDS-31Family 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, 324 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, 263 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, 214 KB)
07LC027E
OCC-027Request for Family Child Care Home Star CertificationApplications  
Open Application for Disaster Food Benefit Assistance (.pdf, 6 pp, 648 KB)
08FB030E
N/AApplication for Disaster Food Benefit AssistanceApplications  
Open Low Income Home Energy Assistance Walk-In Application (.doc, 5 pp, 697 KB)Open Low Income Home Energy Assistance Walk-In Application (.pdf, 5 pp, 422 KB)
08LH002E
LIHEAP-1-BLow Income Home Energy Assistance Walk-In ApplicationApplications  
Open Request for Benefits (.doc, 6 pp, 1.6 MB)Open Request for Benefits (.pdf, 6 pp, 532 KB)
08MP001E
PS-1Request for BenefitsApplications  
Open Responsibilities and Signature for Benefits (.pdf, 6 pp, 582 KB)
08MP003E
FSS-1-BResponsibilities and Signature for BenefitsApplications  
Open Confidential Intake Form (.doc, 6 pp, 818 KB)Open Confidential Intake Form (.pdf, 6 pp, 398 KB)
09AI002E
ACIS-2Confidential Intake FormApplications  
Open Application for Employment (.doc, 4 pp, 823 KB)Open Application for Employment (.pdf, 4 pp, 216 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, 192 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, 173 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, 197 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, 328 KB)
24DC001E
ODDC-1Application to ServeApplications  
Open Application for Partners in Policymaking (.pdf, 6 pp, 606 KB)
24DC007E
ODDC-007Application for Partners in PolicymakingApplications  
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, 175 KB)
24ED001E
MSW-1Application for Master of Social Work StipendApplications  
Open ication for Oklahoma Youth Leadership Forum (YLF) (.pdf, 5 pp, 588 KB)
24YL001E
N/Aication for Oklahoma Youth Leadership Forum (YLF)Applications  
Open Application for Oklahoma Youth Leadership Forum (.doc, 4 pp, 1.1 MB)Open Application for Oklahoma Youth Leadership Forum (.pdf, 4 pp, 277 KB)
24YL002E
N/AApplication for Oklahoma Youth Leadership ForumApplications  
Open Staff Application (.pdf, 4 pp, 239 KB)
24YL006E
YLF-002Staff ApplicationApplications  
   


Last Updated:  5/17/2013
Oklahoma Department of Human Services
Street address: 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
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