South Dakota Department of Social Services Forms

This Form is used for applying for a Social Security Number in South Dakota.

This form is used for work registrants applying for the Supplemental Nutrition Assistance Program (SNAP) in South Dakota to provide an affidavit.

This Form is used for requesting prior authorization for durable medical equipment and medical nutrition in South Dakota.

This Form is used for applying for mental health impact benefits in South Dakota.

This Form is used for authorizing the use or disclosure of protected health information for non-emergency medical travel under the Medicaid program in South Dakota.

This form is used for requesting prior authorization for the Incontinence Supply Family Support 360 Waiver program in South Dakota.

This form is used for creating a present danger plan in South Dakota. It helps in assessing and addressing potential risks to an individual's safety.

This form is used for requesting reimbursement for non-emergency medical travel expenses in South Dakota.

This Form is used for applying for South Dakota Medicaid/CHIP, health coverage, and assistance with paying costs in South Dakota.

This form is used for refusing to consider hardships in South Dakota.

This form is used for requesting hardship considerations in South Dakota.

This form is used for requesting hardship consideration in South Dakota.

This Form is used for determining the financial eligibility for certain programs or benefits in South Dakota.

This document is a form used in South Dakota to assess and track outcomes for individuals with substance use disorder.

This Form is used for assessing the outcome of adult substance use disorder discharge in South Dakota.

This form is used for updating the outcomes of adult substance use disorder treatment in South Dakota.

This Form is used for referring Medicaid beneficiaries in South Dakota who are at-risk.

This form is used for applying to the Disabled Children's Program in South Dakota.

This form is used for voluntarily acknowledging paternity in South Dakota. It is available in both English and Spanish.

This form is used for voluntarily acknowledging paternity in South Dakota. It allows parents to establish legal parentage for a child, even if they are not married.

This form is used for authorizing the release of information in South Dakota.

This Form is used for authorization to provide/disclose information in South Dakota.

This form is used for certifying eligibility for Medicaid coverage of pre-orthodontic treatment in South Dakota.

This Form is used for evaluating and documenting labio-lingual deviations in individuals applying for Medicaid in South Dakota.

This Form is used for applying for the Education and Training Voucher (Etv) in South Dakota.