Maryland Department of Health Forms

This form is used for applying for a temporary food service permit in Caroline County, Maryland.

This document is used for medical documentation for the WIC Program in Maryland. It is used to provide proof of medical conditions and necessary treatments for individuals participating in the program.

This form is used for assessing and referring individuals in Maryland who are seeking addiction treatment for tuberculosis.

This form is used for requesting a travel advance in the state of Maryland.

This Form is used for requesting Low Intensity Support Services (LISS) in Maryland.

This Form is used for reporting complaints in the state of Maryland.

This Form is used for reporting confidential morbidity information in the state of Maryland. It allows healthcare providers to submit data on certain diseases and conditions to the Maryland Department of Health.

This form is used for obtaining an immunization certificate in the state of Maryland. It is required for certain vaccinations and can be obtained from healthcare providers or health departments.

This form is used for motor vehicle accident investigation in Maryland. It provides guidance and instructions for conducting thorough investigations and documenting relevant information.

This document is used for tracking vehicle mileage in Maryland under the Fleetmaster program.

This Form is used for manually inputting prime contractor information in Maryland.

This form is used for manually inputting subcontractor information for Maryland's MBE (Minority Business Enterprise) program.

This form is used for reporting expenses made with a corporate credit card in Maryland.

This form is used for summarizing participation in the Maryland Business Enterprise Program (MBE). It provides a report on the participation of minority-owned and women-owned businesses in state contracts and procurement.

This document is used for reporting payments made to minority business enterprises by subcontractors in Maryland.

This document for submitting contract cover sheets for agreements over $50,000 in the state of Maryland.

This document is used for submitting a cover sheet for a procurement solicitation in Maryland that is greater than $50,000.

This form is used for obtaining funding certification in the state of Maryland.

This document is a report of an emergency procurement action made by a procurement officer in Maryland. It outlines the officer's determination regarding the procurement process.

This document is a procurement justification form used in Maryland for the purchase of commodities where there is only one available source with no suitable substitutes.

This document is used to determine the sole source procurement of services in the state of Maryland. It helps in identifying and selecting a single vendor for providing specific services, without going through the traditional competitive bidding process.

This document certifies the sole source status for continuity of care in human services programs in Maryland. It ensures that the necessary services and support will continue uninterrupted.

This document is used for emergency contracts exceeding $50,000 in the state of Maryland.

This document is for members of evaluation committees in Maryland to certify their impartiality. It ensures that committee members are unbiased in their evaluations.

This form is used for reporting prime contractors' unpaid invoices from Minority Business Enterprises (MBEs) in the state of Maryland. It helps track MBE participation in government contracts.

This document is used for certifying the impartiality of members on the evaluation committee in Maryland for the Department of Health and Mental Hygiene (DHMH).

This document is for the preparation of the Procurement Review Group in Maryland. It outlines the necessary steps and information needed for the review process.

This form is used for briefings at the BPW meeting in Maryland.

This document helps Maryland residents track their subgoals in the MBE Program.

This document is used for submitting a cover sheet when making changes to a contract in the state of Maryland.

This form is used for submitting a cover sheet for contract options in the state of Maryland.

This document is used for making a special request to purchase toner cartridges in the state of Maryland.

This Form is used for verifying financial information by the Comptroller's office in the state of Maryland.

This form is used for reporting fuel purchases made outside of Maryland's fuel management systems.

This form is used for creating an agreement between an expert witness and the parties involved in a legal case in the state of Maryland. It outlines the terms and conditions of the expert's involvement and compensation.

This Form is used for residents of Maryland to request a refund of the State Motor Vehicle Commuting Fee.

This form is used for acknowledging the combined OIT policy in Maryland.

This Form is used for entering into a funding agreement for human services in the state of Maryland.

This form is used for registering for IT training sessions in Maryland.