Select DHS logo to return to home page.
Formas del DHS
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 DHS, 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 DHS del condado.

 

 

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.aspx581120http://www.okdhs.org2/16/2016 10:04:34 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.aspx567140http://www.okdhs.org3/2/2016 12:46:48 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.aspx530180http://www.okdhs.org2/16/2016 10:44:37 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.aspx578240http://www.okdhs.org2/16/2016 2:32:24 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.aspx697130http://www.okdhs.org7/6/2015 3:37:09 PMpdfFalsepdf33;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.aspx548160http://www.okdhs.org1/8/2014 11:04:11 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.aspx598160http://www.okdhs.org12/20/2013 12:07:08 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.aspx658260http://www.okdhs.org5/20/2014 4:01:06 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
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.aspx682210http://www.okdhs.org12/20/2013 12:14:24 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.aspx551140http://www.okdhs.org2/16/2016 2:12:31 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.aspx683160http://www.okdhs.org12/20/2013 12:12:58 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.aspx778180http://www.okdhs.org2/16/2016 12:07:33 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.aspx479130http://www.okdhs.org2/16/2016 11:10:38 AMpdfFalsepdf33;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.aspx468120http://www.okdhs.org3/15/2016 9:19:30 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for Accounting of Disclosures; Petición para Una Explicación Sobre Lo Que Se Dio a Conocer45610/1/2008 10:48:09 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx15900http://www.okdhs.org10/1/2008 10:48:09 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for Child Abuse and Neglect Information System Search; Petición para la Búsqueda del Sistema de Información del Maltrato Infantil y Negligencia5089/16/2010 3:47:51 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx17600http://www.okdhs.org9/16/2010 3:47:51 PMpdfFalsepdf33;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.aspx18100http://www.okdhs.org10/14/2009 8:52:13 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Bridge Resource Family Assessment Application; Solicitud para la Evaluación de la Familia Puente de Recurso51610/14/2009 8:49:03 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx16000http://www.okdhs.org10/14/2009 8:49:03 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Resource Family Personal Reference Letter, Carta de la Referencia Personal de la Familia de Recurso52612/15/2009 9:58:50 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx22500http://www.okdhs.org12/15/2009 9:58:50 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Adult Child's5446/18/2009 4:13:19 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx24230http://www.okdhs.org6/18/2009 4:13:19 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.aspx233120http://www.okdhs.org3/9/2010 10:14:45 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Citizenship Affidavit; Declaración Jurada Sobre la Ciudadanía3738/7/2008 2:29:47 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx21460http://www.okdhs.org8/7/2008 2:29:47 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Time and Progress Report, Reporte del Progreso y el Tiempo38111/10/2010 12:10:39 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx16460http://www.okdhs.org11/10/2010 12:10:39 PMpdfFalsepdf33;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.aspx20880http://www.okdhs.org10/21/2009 5:25:25 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Resource Family Financial Assessment; Evaluación Financiera de los Recursos de la Familia52012/14/2009 1:52:58 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx17760http://www.okdhs.org12/14/2009 1:52:58 PMpdfFalsepdf33;4433~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