Oklahoma Department of Human Services skip navigationOKDHS Header Image with Agency Logo OK.gov - Oklahoma’s Official Web site
Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org

OKDHS Home
Programs/Services
Online Services
Library
OKDHS Local
Careers
Divisions/Offices
Contact Us

 

Learn about the Oklahoma 2-1-1 Advisory Collaborative, which is committed to the implementation of single points of entry to health and human services across Oklahoma


Visit the U.S. Government's Official Web Portal for all government transactions, services, and information for federal, state, local, and tribal governments

Last Updated:  11/19/2009
Search OK.gov
Calendar | Help | Contact Us | About this Site
OKDHS Home > Library > Forms > Forms and Applications for Services
Library: Forms
OKDHS Forms
To view these forms, please choose the associated icon under the View column. In order to view the forms correctly, site guests may need additional software. In some cases, forms are saved as .pdf or .doc files. To take full advantage of the OKDHS content, get the latest versions of Adobe Acrobat Reader or Microsoft Word Viewer from the Downloads and Plug-ins page.
Formas
307 forms found    Page 1  2  3  4  5  6  7   
View Form No.Results shown in ascending orderLegacy No.Form Name Category
Open Perpetual Inventory for USDA Commodities (.doc, 1 pp, 748 KB)Open Perpetual Inventory for USDA Commodities (.pdf, 1 pp, 22 KB)
23CD001E
CDU-CC-1Perpetual Inventory for USDA CommoditiesCommodities  
Open Refrigerator and Freezer Daily Temperature Log (.doc, 1 pp, 709 KB)
23CD002E
CDU-CC-2Refrigerator and Freezer Daily Temperature LogCommodities  
Open Loss Report (.doc, 2 pp, 28 KB)
23CD003E
CDU-CC-3Loss ReportCommodities  
Open Application for Participation (.doc, 5 pp, 1.4 MB)Open Application for Participation (.pdf, 5 pp, 433 KB)
23CD004E
SNP-S-002Application for ParticipationApplications  
Commodities  
Open Notice of Change of Personnel (.pdf, 1 pp, 121 KB)
23CD005E
CDU-2Notice of Change of PersonnelCommodities  
Open Reimbursement Claim - School Nutrition Programs (.doc, 2 pp, 832 KB)Open Reimbursement Claim - School Nutrition Programs (.pdf, 2 pp, 163 KB)Open Reimbursement Claim - School Nutrition Programs Instructions (.pdf, 2 pp, 18 KB)
23CD006E
CDU-SNP-1Reimbursement Claim - School Nutrition ProgramsCommodities  
Open Transfer Slip (.doc, 1 pp, 708 KB)
23CD008E
CDU-1Transfer SlipCommodities  
Open Civil Rights Pre-Award Compliance (.doc, 2 pp, 690 KB)Open Civil Rights Pre-Award Compliance (.pdf, 2 pp, 158 KB)
23CD009E
N/ACivil Rights Pre-Award ComplianceCivil Rights  
Commodities  
Open Fresh Fruit and Vegetable Program (.doc, 2 pp, 1.3 MB)Open Fresh Fruit and Vegetable Program (.pdf, 2 pp, 85 KB)
23CD010E
N/AFresh Fruit and Vegetable ProgramCommodities  
Open Request to Review and/or Copy Records (.doc, 1 pp, 755 KB)Open Request to Review and/or Copy Records (.pdf, 1 pp, 190 KB)Open Request to Review and/or Copy Records Instructions (.pdf, 2 pp, 14 KB)
23RM023E
PA-23-BRequest to Review and/or Copy RecordsGeneral Use  
Open Employees Report of Job-Related Accidental Injury or Illness (.doc, 4 pp, 723 KB)Open Employees Report of Job-Related Accidental Injury or Illness (.pdf, 4 pp, 163 KB)Open Employees Report of Job-Related Accidental Injury or Illness Instructions (.pdf, 1 pp, 11 KB)
23RS046E
ADM-46Employee's Report of Job-Related Accidental Injury or IllnessRisk Management  
Open Risk Management Survey (.doc, 3 pp, 755 KB)Open Risk Management Survey Instructions (.pdf, 1 pp, 43 KB)
23RS109E
ADM-109Risk Management Survey Risk Management  
Open Leave Option Election - Work-related Accident/Illnesss (.doc, 1 pp, 584 KB)Open Leave Option Election - Work-related Accident/Illnesss (.pdf, 1 pp, 160 KB)Open Leave Option Election - Work-related Accident/Illnesss Instructions (.pdf, 1 pp, 11 KB)
23RS113E
ADM-113Leave Option Election - Work-related Accident/IllnesssRisk Management  
Open Application to Serve (.doc, 3 pp, 762 KB)Open Application to Serve (.pdf, 2 pp,308 KB)
24DC001E
ODDC-001Application to ServeApplications  
Developmental Disabilities Council  
Open Participant Activity Summary (.doc, 1 pp, 211 KB)Open Participant Activity Summary (.pdf, 1 pp, 162 KB)
24DC003E
ODDC-003-AParticipant Activity SummaryDevelopmental Disabilities Council  
Open Quarterly Progress Report (.pdf, 1 pp, 18 KB)
24DC004E
ODDC-004Quarterly Progress ReportDevelopmental Disabilities Council  
Open Request for Contract Reimbursement (.pdf, 1 pp, 18 KB)
24DC005E
ODDC-005Request for Contract ReimbursementDevelopmental Disabilities Council  
Open Activity Sheets (.pdf, 1 pp, 28 KB)
24DC006E
ODDC-006Activity SheetsDevelopmental Disabilities Council  
Open Application for Participants (.doc, 6 pp, 1.2 MB)Open Application for Participants (.pdf, 6 pp, 332 KB)
24DC007E
ODDC-007Application for ParticipantsApplications  
Developmental Disabilities Council  
Open Staff Activity Summary (.pdf, 1 pp, 18 KB)
24DC008E
ODDC-003Staff Activity SummaryDevelopmental Disabilities Council  
Open Application for Master of Social Work Stipend (.doc, 2 pp, 1.3 MB)Open Application for Master of Social Work Stipend (.pdf, 2 pp, 142 KB)
24ED001E
MSW-001Application for Master of Social Work StipendApplications  
Developmental Disabilities Council  
Open Application for Oklahoma Youth Leadership Forum (YLF), Part I (.doc, 3 pp, 732 KB)Open Application for Oklahoma Youth Leadership Forum (YLF), Part I (.pdf, 3 pp, 233 KB)
24YL001E
N/AApplication for Oklahoma Youth Leadership Forum (YLF), Part IApplications  
Developmental Disabilities Council  
Open Application for Oklahoma Youth Leadership Forum (YLF), Part II (.doc, 5 pp, 899 KB)Open Application for Oklahoma Youth Leadership Forum (YLF), Part II (.pdf, 5 pp, 120 KB)
24YL002E
N/AApplication for Oklahoma Youth Leadership Forum (YLF), Part IIApplications  
Developmental Disabilities Council  
Open Delegate Information and Request for Accommodations (.doc, 4 pp, 944 KB)Open Delegate Information and Request for Accommodations (.pdf, 4 pp, 314 KB)
24YL003E
YLF-003Delegate Information and Request for AccommodationsDevelopmental Disabilities Council  
Open Release for Use of Photographs and Quotations (.doc, 1 pp, 659 KB)Open Release for Use of Photographs and Quotations (.pdf, 1 pp, 145 KB)
24YL004E
YLF-004Release for Use of Photographs and QuotationsDevelopmental Disabilities Council  
Open Strengths, Assets, and Goals Worksheet (.doc, 4 pp, 704 KB)Open Strengths, Assets, and Goals Worksheet (.pdf, 4 pp, 168 KB)
24YL005E
N/AStrengths, Assets, and Goals WorksheetDevelopmental Disabilities Council  
Open Staff Application (.doc, 3 pp, 713 KB)Open Staff Application (.pdf, 3 pp, 218 KB)
24YL006E
YLF-002Staff ApplicationApplications  
Developmental Disabilities Council  
Open Facts About the Sales Tax Relief Act (.pdf, 1 pp, 51 KB)
A-3
08AX031EFacts About the Sales Tax Relief ActAppendices  
Multiple Programs  
Open Older Americans Act - Title III Acronyms, 12/15/2003 (.pdf, 2 pp, 27 KB)
A-4
02AX001EOlder Americans Act - Title III Acronyms, 12/15/2003Aging  
Appendices  
Open Long-Term Care (LTC) Services (.pdf, 2 pp, 82 KB)
A-7
02AX004ELong-Term Care (LTC) ServicesAging  
Appendices  
Open Eligibility Requirements for Long-Term Care Programs (.pdf, 2 pp, 86 KB)
A-8
02AX005EEligibility Requirements for Long-Term Care ProgramsAging  
Appendices  
Open Maximum Income, Resource, and Payment Standards 10/01/2009 (.pdf, 8 pp, 115 KB)
C-1
08AX001EMaximum Income, Resource, and Payment Standards 10/01/2009Appendices  
Multiple Programs  
Open Child Support Services and Responsibilities (.pdf, 4 pp, 100 KB)
C-16
03AX016EChild Support Services and ResponsibilitiesAppendices  
Child Support  
Open Standards for Expanded Medical Coverage Indicator (.doc, 1 pp, 659 KB)Open Standards for Expanded Medical Coverage Indicator (.pdf, 1 pp, 88 KB)
C-1-A
08AX010EStandards for Expanded Medical Coverage IndicatorAppendices  
Medical  
Open Children and Family Services Division Rates Schedule 01/01/2009 (.pdf, 9 pp, 109 KB)
C-20
04AX003EChildren and Family Services Division Rates Schedule 01/01/2009Child Welfare  
Open Children and Family Services Division Rates Schedule 01/01/2009 (.pdf, 9 pp, 109 KB)
C-20_097_01012009
04AX003EChildren and Family Services Division Rates Schedule 01/01/2009Appendices  
Open Title III Reports Schedule (.pdf, 2 pp, 74 KB)
C-21
02AX006ETitle III Reports ScheduleAging  
Appendices  
Open Maximum Food Benefit Allotments and Standards for Income and Deductions 10/01/2009 (.pdf, 37 pp, 860 KB)
C-3
08AX003EMaximum Food Benefit Allotments and Standards for Income and Deductions 10/01/2009Appendices  
Open Maximum Food Benefit Allotments and Standards for Income and Deductions 10/01/2009 (.pdf, 37 pp, 860 KB)
C-3_092_10012009
08AX003EMaximum Food Benefit Allotments and Standards for Income and Deductions 10/01/2009Food Stamps  
Open Maximum Income Limits and Benefit Allotments for FNS Declared Disasters 10/01/2009 (.pdf, 1 pp, 52 KB)
C-3-A
08AX004EMaximum Income Limits and Benefit Allotments for FNS Declared Disasters 10/01/2009Appendices  
Food Stamps  
Open Child Care Eligibility/Co-payment Chart 06/01/2008 (.pdf, 9 pp, 94 KB)
C-4
08AX005EChild Care Eligibility/Co-payment Chart 06/01/2008Appendices  
Child Care  
Open Child Care Provider Rate Schedule 01/01/2009 (.pdf, 7 pp, 129 KB)
C-4-B
APPENDIX 08AX006EChild Care Provider Rate Schedule 01/01/2009Appendices  
Child Care Licensing  
Child Care  
Open Low Income Home Energy Assistance Program - Income and Resource Level by Household Size (.pdf, 1 pp, 43 KB)
C-7
08AX039ELow Income Home Energy Assistance Program - Income and Resource Level by Household SizeAppendices  
LIHEAP  
Open Cooperative Intake (.pdf, 2 pp, 19 KB)
CO001
CO-001Cooperative IntakeGeneral Use  
Open Directory - Congregate Meals Program 09/10/09 (.pdf, 30 pp, 589 KB)
D-20
02AX007EDirectory - Congregate Meals Program 09/10/09Aging  
Appendices  
Open HB 1094 Compliance Report (.xls, 27 KB)
HB1094CR
N/AHB 1094 Compliance ReportDevelopmental Disabilities  
Open HB 1094 Compliance Report Instructions (.pdf, 4 pp, 37 KB)
HB1094E
N/AHB 1094 Compliance Report InstructionsDevelopmental Disabilities  
Open HB 1094 Compliance Report Provider Letter (.pdf, 1 pp, 53 KB)
HB1094PL
N/AHB 1094 Compliance Report Provider LetterDevelopmental Disabilities  
Open Child Care Center Exclusion Criteria for Children Who Are III 09/15/2007 (.pdf, 2 pp, 70 KB)
L-6
07AX006EChild Care Center Exclusion Criteria for Children Who Are III 09/15/2007Appendices  
Child Care Licensing  
Open Eligibility Schedule/Rates for Adult Day Services (.pdf, 1 pp, 59 KB)
M-105
02AX010EEligibility Schedule/Rates for Adult Day ServicesAdult Day Services  
Appendices  
Page 1  2  3  4  5  6  7     
Street address: Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646