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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.

 

 

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.aspx640290http://www.okdhs.org2/16/2016 12:07:33 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.aspx571170http://www.okdhs.org5/20/2014 4:01:06 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.aspx419110http://www.okdhs.org2/16/2016 11:10:38 AMpdfFalsepdf33;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.aspx446160http://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 Descanso5102/16/2016 2:12:31 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx468220http://www.okdhs.org2/16/2016 2:12:31 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.aspx595130http://www.okdhs.org12/20/2013 12:14:24 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.aspx514200http://www.okdhs.org2/16/2016 10:04:34 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.aspx489190http://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.aspx611180http://www.okdhs.org7/6/2015 3:37:09 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.aspx38490http://www.okdhs.org3/15/2016 9:19:30 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.aspx53670http://www.okdhs.org12/20/2013 12:07:08 PMpdfFalsepdf33;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.aspx504150http://www.okdhs.org3/2/2016 12:46:48 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.aspx477160http://www.okdhs.org1/8/2014 11:04:11 AMpdfFalsepdf33;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.aspx60380http://www.okdhs.org12/20/2013 12:12:58 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for Address of Record3051/30/2008 12:41:09 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx23500http://www.okdhs.org1/30/2008 12:41:09 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.aspx14500http://www.okdhs.org11/10/2010 12:10:39 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for a Fair Hearing; Solicitud para una Audiencia Justa38511/30/2009 3:18:57 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx14800http://www.okdhs.org11/30/2009 3:18:57 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Delegate Information and Request for Accommodations; Información Sobre Delegados y Solicitud para Asistencia38712/14/2009 9:48:26 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx18300http://www.okdhs.org12/14/2009 9:48:26 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Request for Amendment of Protected Health Information, Petición para una Corrección de la Información Sobre la Salud Que Está Protegida46010/1/2008 10:49:32 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx14000http://www.okdhs.org10/1/2008 10:49:32 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.aspx14000http://www.okdhs.org10/14/2009 8:49:03 AMpdfFalsepdf33;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.aspx18600http://www.okdhs.org3/9/2010 10:14:45 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Resource Family Reference Letter for an Employer; Carta de Recomendación para la Familia de Recurso para un Empleador5223/4/2010 11:47:18 AMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx13600http://www.okdhs.org3/4/2010 11:47:18 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.aspx21300http://www.okdhs.org12/15/2009 9:58:50 AMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Denial of Paternity5406/18/2009 4:13:05 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx17500http://www.okdhs.org6/18/2009 4:13:05 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js
Rescission of Acknowledgement of Paternity5426/18/2009 4:13:11 PMSTS_ListItem_DocumentLibraryhttp://www.okdhs.org/OKDHS Spanish Form Library/Forms/AllItems.aspx16000http://www.okdhs.org6/18/2009 4:13:11 PMpdfFalsepdf33;4433~sitecollection/_catalogs/masterpage/Display Templates/Search/Item_InternetFormPDF.js

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