South Dakota Department of Social Services Forms

This form is used for individuals in South Dakota to provide a sworn statement regarding mental illness for legal purposes.

This document is used for filing a petition to request emergency commitment of a minor in the state of South Dakota.

This document is a petition that can be used in South Dakota for requesting an emergency commitment for individuals who pose a threat to themselves or others.

This document is a tool used in South Dakota to assess the initial outcomes of youth with substance use disorder.

This document provides information on how to choose child care in South Dakota.

This form is used to apply for the Common Sense Parenting Program voucher in South Dakota.

This form is used for South Dakota Medicaid recipients who require additional lodging during non-emergency medical travel.

This form is used for obtaining prior authorization for the Incontinence Supply Hope Waiver in South Dakota. It is required for individuals who need assistance with incontinence supplies.

This form is used for requesting reimbursement of adoption home study expenses in South Dakota.

This form is used for applying to modify a family day care registration in South Dakota.

This form is used for a continued stay review of psychiatric services for individuals under the age of 21 in South Dakota.

This document is used for reporting mileage as a CPS (Child Protective Services) provider in South Dakota.

This form is used for providing advance notice to recipients in South Dakota about non-coverage of certain services.

This document is a six-month report form used in South Dakota for the TANF and SNAP programs. It is used to provide updates on the recipient's eligibility and participation in these assistance programs.

This form is used for applying for grants in South Dakota.

This form is used for obtaining prior authorization for the medications Synagis and Respigam in South Dakota.