Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals Forms

This Form is used for requesting a review in Rhode Island based on a major life change.

This document is used for requesting a petition for instructions in the state of Rhode Island. It provides a formal way to seek guidance or clarification on legal matters.

This type of document is a Spanish-language form used for reporting integrated community employment in Rhode Island.

This form is used for requesting a change in the allocation of respite units in Rhode Island.

This Form is used for requesting a transfer of a service level agreement in Rhode Island.

This form is used for reporting integrated community employment information in Rhode Island.

This Form is used for Rhode Island participants to request additional supports above their authorized service tier package.

This type of document is a Plan de Apoyo Individual (Individual Support Plan) specifically for Rhode Island. The document outlines the specific support and services that will be provided to an individual.

This document is a notification to the BHDDH (Behavioral Healthcare, Developmental Disabilities and Hospitals) department in Rhode Island about an IEP/CDP (Individualized Education Program/Coordinated Development Plan) meeting.

This document is used for requesting an ISP (Individualized Service Plan) attachment for benefits planning and employment in Rhode Island.

This form is used for obtaining temporary internet service during the Covid-19 pandemic in Rhode Island.

This document is for making amendments or additions to an existing agreement with an internet service provider in Rhode Island.

This form is used for requesting an extension of time to file the Rhode Island S106 tax form.

This form is used for requesting a review of a case based on a major life change in Rhode Island. It allows individuals to present new information that may affect their eligibility for certain programs or services.

This form is used for participants in Rhode Island to request additional supports above their authorized service tier package.

This form is used for applying for admission to a Rhode Island institution.

This document is a checklist for residents of Rhode Island who are applying for Medicaid or health coverage assistance. It provides a list of the documents and information that individuals will need to gather and submit as part of their application.

This form is used for assessing the eligibility of individuals in Rhode Island for different levels of care.

This Form is used for applying for admission to a college or university in Rhode Island.

This document is the Public Records Request Form for Rhode Island under the Access to Public Records Act. It is used to request access to public records from governmental agencies in Rhode Island.

This document is an application for adult services for transition aged youth in Rhode Island. It is used to request support and resources from the Department of Children, Youth, and Families (DCYF) as individuals transition into adulthood.

This document is an addendum that is used to supplement a license application in the state of Rhode Island. It provides additional information or updates to the original application.

This form is used for reporting employment and earnings in the state of Rhode Island. It is used to gather information about an individual's income and employment status for tax and benefits purposes.

This document provides an introduction to the application for services in Rhode Island in Portuguese. It is helpful for Portuguese-speaking individuals who need to access services in Rhode Island.

This form is used for requesting and releasing data in Rhode Island, ensuring the proper handling and confidentiality of the data.