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Formas del DHS
Solicitud para Beneficios

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Para obtener las formas adicionales que no están incluidas en esta lista, por favor visite a su oficina local del DHS del condado.

 

 

Medical Assistance Benefit Review Report; Reporte de la Revisión de los Beneficios de Asistencia Médica6947/6/2015 3:37:09 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx81200http://www.okdhs.org7/6/2015 3:37:09 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Cambios de Circunstancias en el Hogar8342/16/2016 10:44:37 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx65600http://www.okdhs.org2/16/2016 10:44:37 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Solicitud para el Programa de Vales de Descanso9612/16/2016 2:12:31 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx68700http://www.okdhs.org2/16/2016 2:12:31 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Escala de Programas de Cuidado Infantil de Calidad de Oklahoma: Autoevaluación1008310/2/2017 10:57:48 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx3700http://www.okdhs.org10/2/2017 10:57:48 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Child Information; Información del Niño9637/27/2017 10:34:13 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx34830http://www.okdhs.org7/27/2017 10:34:13 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Acuerdo de Colocación para Cuidado Fuera del Hogar9603/15/2016 9:19:30 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx57630http://www.okdhs.org3/15/2016 9:19:30 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Información de Registro de Votantes211328/24/2017 2:36:51 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx4630http://www.okdhs.org8/24/2017 2:36:51 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Aviso de Entrevista9707/27/2017 11:44:03 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx8670http://www.okdhs.org7/27/2017 11:44:03 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Employment Verification, Verificación de Empleo8319/18/2017 4:07:04 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx315120http://www.okdhs.org9/18/2017 4:07:04 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Derechos, Responsabilidades y Firma para Beneficios - Spanish Rights, Responsibilities, and Signature for Benefits7037/19/2017 2:21:57 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx73640http://www.okdhs.org7/19/2017 2:21:57 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
04AF017E2117710/3/2012 11:15:10 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx7260http://www.okdhs.org10/3/2012 11:15:10 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Solicitud de Reemplazo de Alimentos Destruidos8328/7/2017 2:20:26 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx10240http://www.okdhs.org8/7/2017 2:20:26 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Aviso del Centro de Apoyo para una Entrevista9722/16/2016 11:10:38 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx54690http://www.okdhs.org2/16/2016 11:10:38 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Notificación de Seguro: Programas de Cuidado Infantil y Hogares de Cuidado Infantil9647/27/2017 10:52:50 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx9960http://www.okdhs.org7/27/2017 10:52:50 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Servicios de Manutención de Hijos y Responsabilidades211619/11/2017 11:06:24 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx75130http://www.okdhs.org9/11/2017 11:06:24 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for Benefits; Solicitud para Beneficios70111/2/2017 4:26:46 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx107333470http://www.okdhs.org11/2/2017 4:26:46 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Solicitud de Asistencia de Beneficos de Alimentos por Desastre8338/7/2017 2:26:59 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx104120http://www.okdhs.org8/7/2017 2:26:59 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Designación del Representante Autorizado135212/20/2013 12:07:08 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx723100http://www.okdhs.org12/20/2013 12:07:08 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Notificación del Archivo Cumplimiento: Programas de Cuidado Infantil y Hogares de Cuidado Infantil9657/27/2017 10:47:55 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx12670http://www.okdhs.org7/27/2017 10:47:55 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
CSS - Comentarios de Manutención de Niños; Child Support Services135412/20/2013 12:14:24 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx81260http://www.okdhs.org12/20/2013 12:14:24 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Solicitud de Certificación Estrella de Hogar de Cuidado Infantil Familiar9627/31/2017 2:18:38 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx134100http://www.okdhs.org7/31/2017 2:18:38 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Family Violence - Address of Record Statement; Violencia Familiar- Declaración de Domicilio Registrado13483/2/2016 12:46:48 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx68930http://www.okdhs.org3/2/2016 12:46:48 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Notification de Exencion de Seguro9687/27/2017 11:37:20 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx12340http://www.okdhs.org7/27/2017 11:37:20 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Child Support Services Autorización de Interprete135612/20/2013 12:12:58 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx81030http://www.okdhs.org12/20/2013 12:12:58 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Aviso A Los Padres211408/29/2017 1:41:42 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx8130http://www.okdhs.org8/29/2017 1:41:42 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js

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