Rhode Island Department of Human Services Forms

The Rhode Island Department of Human Services (DHS) is responsible for administering various assistance programs and services to help support individuals and families in need. These programs may include SNAP (Supplemental Nutrition Assistance Program), which provides food assistance, and other programs that offer financial assistance, healthcare coverage, child care services, and support for individuals with disabilities. The DHS aims to improve the overall well-being and quality of life for Rhode Island residents by helping them meet their basic needs and access necessary resources.

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Documents:

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This type of document is a verification checklist specifically for the Supplemental Nutrition Assistance Program (SNAP) in Rhode Island. It helps to ensure that all necessary documentation is provided and verified for individuals applying for SNAP benefits.

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This Form is used for reporting changes in circumstances for recipients of SNAP/RIW benefits in Rhode Island.

This form is used for reporting changes to your information for the SNAP (Supplemental Nutrition Assistance Program) or RIW (Rhode Island Works) program in Rhode Island.

This form is used for requesting a replacement of food purchased with SNAP benefits in Rhode Island.

This form is used for requesting a delay in SNAP benefits in Rhode Island.

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This form is used for submitting an interim report for the SNAP (Supplemental Nutrition Assistance Program) in Rhode Island. The form is provided in Portuguese for convenience.

This document is for submitting an interim report form for the SNAP (Supplemental Nutrition Assistance Program) in Rhode Island. The form is available in Portuguese.

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This Form is used for requesting a replacement of food purchased with SNAP benefits in Rhode Island. The form is available in Portuguese.

This form is used for submitting an interim report for the SNAP2M program in Rhode Island. It allows participants to update their information and report any changes in their circumstances.

This form is used for filing an appeal in Rhode Island for the OHHS-121 program.

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This form is used for recertification of SNAP benefits in Rhode Island.

This document is a verification checklist for the Rhode Island Works Program, which provides assistance to families in need. It helps ensure that applicants meet the eligibility requirements for the program.

This type of document is a verification checklist for the Child Care Assistance Program in Rhode Island. It helps in meeting the requirements and ensuring eligibility for the program.

This document is for individuals who are required to be licensed by the Department of Children, Youth and Families and/or the Department of Human Services in Rhode Island. It is an affidavit that includes fingerprint information.

This document is a sworn statement of fingerprinting for individuals who need to obtain a license from the Department of Children, Youth, and Families and/or the Department of Human Services in Rhode Island.

This type of document is a Consent Form for Authorized Child Care Activities in Rhode Island. It is used to give permission for activities related to child care.

This document is used for obtaining consent for activities in licensed child care in Rhode Island.

This document is used for obtaining authorization for payment of sick leave for approved assistants in the CCAP program in Rhode Island.

This document is used for authorization of sick leave payment for approved assistants under the CCAP program in Rhode Island.

This form is used for tracking the usage of carbon monoxide detectors in licensed child care facilities in Rhode Island. It helps ensure the safety of children by monitoring the functionality of these detectors.

This form is used for family child care providers in Rhode Island to notify the Department of Human Services about vacation closures.

This form is used for providing an absent notice to the court in Rhode Island.

This Form is used for changing service providers in Rhode Island. (Spanish)

This document is used for submitting a back billing request to a CCAP (Child Care Assistance Program) provider in Rhode Island.

This Form is used for gathering information about the child in Rhode Island.

This document is for licensed child care providers in Rhode Island who are seeking the services of a health care consultant. It outlines the guidelines and requirements for hiring a consultant to ensure the health and safety of children in child care settings.

This form is used for collecting important information about children who are enrolled in licensed child care facilities in Rhode Island.

This Form is used for documenting the administration of medication in Rhode Island.

This document is for reporting injuries that occur in licensed child care facilities in Rhode Island. It is used to ensure the safety and well-being of children in childcare settings.

This Form is used for requesting a change of healthcare provider in Rhode Island.

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