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Health Care Agent Appointment |
Health Care Agent Basic Form |
Form |
24 May 2016 |
PDF |
|
Living Out-of-State Report Form for DS Home and Community Based Services (HCBS) |
Living_OOS_Form_HCBS.pdf |
Form |
05 Sep 2019 |
PDF |
|
Apartment or Other Alternative Living Arrangement in a Shared Living Providers Home |
Housing-Apartment_Alt_Living_Form.docx |
Form |
21 Sep 2021 |
Text |
|
Documentation of Chimney Cleaning and Inspection by Non-Professional Form |
DAIL_Housing_Chimney_Cleaning_Inspection_by_Non-Professional_Form.docx |
Form |
13 Jul 2020 |
Text |
|
Home Safety Assessment Request for Housing Contractor |
DAIL_Home_Safety_Assessment_Request_for_Housing_Contractor.docx |
Form |
26 Jan 2021 |
Text |
|
Equity and Public Safety Request for Funding Form - Fillable Form |
Equity-Public_Safety_Request_for_Funding_for_HCBS.docx |
Form |
01 Oct 2021 |
Text |