Select DHS logo to return to home page.
DHS Forms

Type the form name or number you are looking for in the search box above.

 

Use the category search refiner to the left to select a specific category.                                       

 

PROBLEMS OPENING FORMS?

  • Make sure you have a current version of Adobe Reader.  ​Get the latest versions of Adobe Acrobat Reader from the Downloads and Plug-ins page.
  • When opening the .pdf form from a web-browser such as Firefox, Microsoft Edge, or Chrome:
    • download the form - right click on the link and select save link as and save it to your computer;
    • open the file  - right click on the file and choose open with Adobe Reader. 

Still having problems opening forms?  Contact dhsforms@okdhs.org for additional assistance.

Formas

Note For Users Of Assistive Technology
While using Adobe Reader with Protected Mode enabled on Windows XP operating systems, some Assistive technologies may not be able to read some document content. If you do encounter problems, turning off Protected Mode may help. This can be done by choosing Edit > Preferences > General and unchecking Enable Protected Mode at Startup.

Other Form Links

 

 

Harmony Access Request for Non-DHS Employees217445/16/2018 8:34:55 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx4023650http://www.okdhs.org5/16/2018 8:34:55 AMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for Title XIX Nursing Assessment2822View, complete, or print the Oklahoma Department of Human Services (OKDHS), Form 02AG001E (ABCDM-83-A), Request for Title XIX Nursing Assessment1/24/2007 6:13:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx1352400http://www.okdhs.org1/24/2007 6:13:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Request for Title XIX Nursing Assessment282410/9/2007 10:02:29 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx207624450http://www.okdhs.org10/9/2007 10:02:29 AMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Please update any information below that has changed since last year's Older American Act Assessment.2828View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG004E (AG-2-B), Change of Client Status.1/17/2008 8:24:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx1934400http://www.okdhs.org1/17/2008 8:24:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Change of Client Status267312/5/2010 2:32:27 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx188003630http://www.okdhs.org12/5/2010 2:32:27 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Change of Client Status Instructions26755/21/2008 4:01:57 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx182733520http://www.okdhs.org5/21/2008 4:01:57 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Area Agency on Aging (AAA)2676View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG005E (AG-25), Annual Assessment.1/17/2008 8:23:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx726430http://www.okdhs.org1/17/2008 8:23:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Annual Assessment267712/5/2010 2:32:27 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx199093720http://www.okdhs.org12/5/2010 2:32:27 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Voluntary Withdrawal of Title III Project2678View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG006E (AG-29), Voluntary Withdrawal of Title III Project 1/17/2008 6:07:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx513330http://www.okdhs.org1/17/2008 6:07:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Voluntary Withdrawal of Title III Project267912/5/2010 2:32:28 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx168983280http://www.okdhs.org12/5/2010 2:32:28 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Cash Disbursements Journal2680View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG011E (SUOA-S-10), Cash Disbursements Journal4/7/2010 2:23:35 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx557320http://www.okdhs.org4/7/2010 2:23:35 PMxlsFalsexls3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Cash Disbursements Journal2681View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG012E (SUOA-S-11), Cash Disbursements Journal3/23/2010 8:20:02 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx338240http://www.okdhs.org3/23/2010 8:20:02 PMxlsFalsexls3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Equipment Inventory2682View, complete, or print the Oklahoma Department of Human Services (OKDHS), Form 02AG013E (SUOA-S-16), Equipment Inventory8/9/2007 1:44:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx1017380http://www.okdhs.org8/9/2007 1:44:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Equipment Inventory268412/5/2010 2:32:29 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx166823240http://www.okdhs.org12/5/2010 2:32:29 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
In-Kind Travel Expense Voucher2548View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG014E (SUOA-S-17), In-kind Travel Expense Voucher1/17/2007 9:38:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx492250http://www.okdhs.org1/17/2007 9:38:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
In-Kind Travel Expense Voucher255012/5/2010 2:32:29 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx151992980http://www.okdhs.org12/5/2010 2:32:29 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Organization Financial Report2552View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG015E (SUOA-S-20), Organization Financial Report3/25/2010 4:40:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx354250http://www.okdhs.org3/25/2010 4:40:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Organization Financial Report25533/25/2010 11:00:10 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx162582780http://www.okdhs.org3/25/2010 11:00:10 AMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Organization Financial Report Instructions25543/25/2010 11:01:04 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx173953230http://www.okdhs.org3/25/2010 11:01:04 AMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Nutrition Project Attendance Form2555View, complete, or print the Oklahoma Department of Human Services (OKDHS) Form 02AG016E (SUOA-S-32), Nutrition Project Attendance Form 1/17/2008 6:21:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx434260http://www.okdhs.org1/17/2008 6:21:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Nutrition Project Attendance Form255612/5/2010 2:32:30 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx166982850http://www.okdhs.org12/5/2010 2:32:30 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
INDIVIDUAL ATTENDANCE RECORD2557View, complete, or print the Oklahoma Department of Human Services (OKDHS), Form 02AG017E (SUOA-S-33), Individual Attendance Record8/9/2007 1:46:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx526190http://www.okdhs.org8/9/2007 1:46:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Individual Attendance Record255912/5/2010 2:32:30 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx109873250http://www.okdhs.org12/5/2010 2:32:30 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Project Menu Plan - Nutrition Program for the Elderly2562View, complete or print the Oklahoma Department of Human Services, Form 02AG018E (SUOA-S-34), Project Menu Plan - Nutrition Program for the Elderly1/17/2008 6:28:00 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx335250http://www.okdhs.org1/17/2008 6:28:00 PMdocFalsedoc3232~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormWord.js
Project Menu Plan - Nutrition Program for the Elderly256312/5/2010 2:32:31 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Form Library/Forms/AllItems.aspx114643570http://www.okdhs.org12/5/2010 2:32:31 PMpdfFalsepdf3131~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js

~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js
~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_Default.js