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Formas del OKDHS
Solicitud para Beneficios

Para poder ver estas formas correctamente, puede ser que los clientes necesiten software adicional. En algunos casos, las formas están guardadas como archivos .doc o .pdf. Para aprovechar completamente del contenido del OKDHS, obtenga las versiones más actuales de Adobe Acrobat Reader o Microsoft Word Viewer de la página de Downloads y Plug-ins.

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

 

 

CSS - Comentarios de Manutención de Niños; Child Support Services53312/20/2013 12:14:24 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx557160http://www.okdhs.org12/20/2013 12:14:24 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Cambios de Circunstancias en el Hogar4502/16/2016 10:44:37 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx403130http://www.okdhs.org2/16/2016 10:44:37 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Family Violence - Address of Record Statement; Violencia Familiar- Declaración de Domicilio Registrado3033/2/2016 12:46:48 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx453280http://www.okdhs.org3/2/2016 12:46:48 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Medical Assistance Benefit Review Report; Reporte de la Revisión de los Beneficios de Asistencia Médica4077/6/2015 3:37:09 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx554240http://www.okdhs.org7/6/2015 3:37:09 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Responsibilities and Signature for Benefits; Responsabilidades y Firma para los Beneficios4172/16/2016 10:04:34 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx462230http://www.okdhs.org2/16/2016 10:04:34 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Contacto con el Cliente y Petición de Información4461/8/2014 11:04:11 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx440210http://www.okdhs.org1/8/2014 11:04:11 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Solicitud para Servicios de Manutención de Niños2992/16/2016 2:32:24 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx438260http://www.okdhs.org2/16/2016 2:32:24 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Solicitud para el Programa de Vales de Descanso5102/16/2016 2:12:31 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx415230http://www.okdhs.org2/16/2016 2:12:31 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Renovar mis Beneficios4195/20/2014 4:01:06 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx528270http://www.okdhs.org5/20/2014 4:01:06 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Lista de Tarifas para los Proveedores de Cuidado Infantil3112/16/2016 12:07:33 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx555410http://www.okdhs.org2/16/2016 12:07:33 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Child Support Services Autorización de Interprete53512/20/2013 12:12:58 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx562300http://www.okdhs.org12/20/2013 12:12:58 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Aviso del Centro de Apoyo para una Entrevista4472/16/2016 11:10:38 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx383220http://www.okdhs.org2/16/2016 11:10:38 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Designación del Representante Autorizado53112/20/2013 12:07:08 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx494170http://www.okdhs.org12/20/2013 12:07:08 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Acuerdo de Colocación para Cuidado Fuera del Hogar5093/15/2016 9:19:30 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx354160http://www.okdhs.org3/15/2016 9:19:30 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Acknowledgement of Paternity5387/25/2007 10:13:38 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx25430http://www.okdhs.org7/25/2007 10:13:38 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Information for Benefit Review Reporters; Información para las Personas que Proporcionan sus Datos para la Revisión de Beneficios3752/8/2010 4:04:24 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx18870http://www.okdhs.org2/8/2010 4:04:24 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for Citizenship Verification; Petición para la Verificación de la Ciudadanía37712/14/2009 1:08:18 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx18790http://www.okdhs.org12/14/2009 1:08:18 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Family Health History; Historial de la Salud de la Familia5288/20/2009 3:12:10 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx11670http://www.okdhs.org8/20/2009 3:12:10 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Resource Family Assessment - Bridge Family Profile; Evaluación de la Familia de Recurso Perfil de la Familia Puente5183/9/2010 10:14:45 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx17890http://www.okdhs.org3/9/2010 10:14:45 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Authorization to Disclose Medical Records; Autorización para Divulgar el Historial de Salud4548/26/2009 7:15:10 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx173130http://www.okdhs.org8/26/2009 7:15:10 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Child Information; Información del Niño51210/14/2009 8:52:13 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx13590http://www.okdhs.org10/14/2009 8:52:13 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Presumptive Eligibility4092/17/2010 12:05:11 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx25670http://www.okdhs.org2/17/2010 12:05:11 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Changes in Household Circumstances; Cambios en las Circunstancias del Hogar41110/22/2009 9:09:56 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx16380http://www.okdhs.org10/22/2009 9:09:56 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Aviso para las Mujeres Embarazadas Sobre la Presunta Elegibilidad (PE) para SoonerCare (Medicaid)41310/21/2009 5:25:25 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx16570http://www.okdhs.org10/21/2009 5:25:25 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Rescission of Paternity5142/4/2008 2:26:50 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx276140http://www.okdhs.org2/4/2008 2:26:50 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js

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