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| Form Number [Sorted] | Title [Sort] | Categories [Sort] [?] | File Format [?] |
| Booklet 1 |
Child Support Guidelines 2006 |
CSE |
|
| Form 1 |
I-9 (Employment Eligibility Verification) |
HRM |
PDF++ |
| Poster 1 |
And Justice for All (SNAP) |
SNAP |
|
| Form 1 |
CHIP Notice C021 Food Stamps - Phone Recertification Appointment Notice (English) |
SNAP |
PDF++ |
| Form 1 |
CHIP Notice F006 Appointment Letter - Initial Application (English) |
SNAP |
PDF++ |
| 1 |
Links to Child Care Licensing Forms and Laws |
CC |
|
| Form 1 SPA |
CHIP Notice C021 Food Stamps - Phone Recertification Appointment Notice (Spanish) |
SNAP |
PDF++ |
| Form 1 SPA |
CHIP Notice F006 Appointment Letter - Initial Application (Spanish) |
SNAP |
PDF++ |
| Form 1 SPA |
Spanish Days of the Week |
SNAP |
|
| Form 1 SPA |
Spanish Months of the Year |
SNAP |
|
| Form 1025 |
Jobs Upfront Mean More Pay |
FA |
PDF++ |
| Form 1025 SPA |
Programa de Trabajo JUMMP |
FA |
|
| Form 1164 |
Purchase of Service Reimbursement Request |
FIN |
PDF++ |
| Flyer 1202 |
ePAY Debit Card |
FI |
|
| Flyer 1202 SPA |
Tarjeta de débito ePAY |
FI |
|
| Form 1204 |
SCCAP Application Cover Letter |
SNAP |
|
| Form 1204 SPA |
Carta de presentación de solicitud de SCCAP |
SNAP |
|
| Form 1205 |
Declaration and Consent to Participate in the SCCAP |
SNAP |
|
| Form 1205 SPA |
Declaración y Autorización para Participar en el Proyecto de Solicitud Combinada de Carolina del Sur (SCCAP) |
SNAP |
|
| Form 1206 |
SCCAP Rights and Responsibilities |
SNAP |
|
| Form 1206 SPA |
PROYECTO DE SOLICITUD COMBINADA DE CAROLINA DEL SUR (SCCAP) DERECHOS Y RESPONSABILIDADES |
SNAP |
|
| Form 1211 |
Request for Child Support Information |
FS |
|
| Form 1214 |
Notification Regarding Psychotropic Medication |
HS |
|
| Form 1216 |
Voluntary Child Support/Contributions Form |
FAM |
|
| Form 1216 SPA |
Formulario de Contribuciones/Manutención Voluntaria para Menores |
FAM |
|
| Form 1232 |
Father Involvement and Marriage Questionnaire |
FA |
PDF++ |
| Form 1234 SPA |
Formulario de Referencia/Comunicación del Cliente |
FNP/FI |
|
| Form 1245 |
Request for Wage Information |
FI |
PDF++ |
| Form 1245 PORT |
Request for Wage Information - Portuguese Brazilian |
FI |
Word |
| Form 1245 SPA |
Solicitud Para Información de Salario |
FI |
PDF+ |
| Form 1247 |
Medical Release/Physician's Statement |
FI |
|
| Form 1247 SPA |
Relevo Médico / Declaración del Médico |
FI |
|
| Form 1247A |
Medical Release/Physician's Statement – Required In-Home |
FA |
|
| Form 1247A SPA |
Divulgación de Expedientes Médicos/Declaración del Médico: se le Requiere en el Hogar |
FA |
|
| Form 1247 B |
Family Independence Self Evaluation Activities of Daily Living |
FA |
PDF++ |
| Form 1247 C |
Family Independence Program Certification of Necessary Treatment |
FA |
PDF++ |
| Brochure 1250 |
When Opportunity Knocks... |
FI |
|
| Brochure 1273 |
South Carolina Combined Application Project |
SNAP |
|
| Brochure 1273 SPA |
South Carolina Proyecto de aplicación combinada |
SNAP |
|
| Letter 1299 |
SCCAP Excess Expense Letter |
SNAP |
|
| Letter 1299 SPA |
Estimado beneficiario del SNAP a través del SCCAP |
SNAP |
|
| Form 1300 |
Record of School Attendance and Performance Report |
FA |
PDF++ |
| Form 1301 |
Certification of Homework Hours |
FA |
PDF++ |
| Form 1302 |
Supervised Homework Hours |
FA |
PDF++ |
| Form 1303 |
Authorization for Verification of Attendence for Vocational Education |
FA |
|
| Brochure 1308 |
Project HOPE (Adult) |
FAM |
|
| Brochure 1311 |
Employer Services, Benefits and Incentives |
FAM |
|
| Form 1319 |
Supervised Job Search Log – Job Search Verification |
FA |
PDF++ |
| Form 1326 |
Notification of Eligibility Determination for Refugee Resettlement Program |
FA |
PDF++ |
| Brochure 1327 |
Refugee Resettlement Program |
RR |
|
| Brochure 1436 |
Sexual Harassment Policy |
HRM |
|
| Form 1474 |
Employee Exit Survey |
HRM |
PDF++ |
| Form 1503 |
Assurance of Compliance with the Department of Health and Human Services Regulation Under Title VI, Section 601 of the Civil Rights Act of 1964, as Amended |
PD |
PDF++ |
| Form 1508 |
Memorandum of Agreement on Criminal Records Checks for Child Caring Institutions, Group Homes and Child Placing Agencies |
PD |
PDF++ |
| Form 1509 |
Assurance of Compliance with the Multiethnic Placement Act of 1994 (MEPA) |
PD |
PDF++ |
| Form 1510 |
Physical Examination Blank for Foster Parent |
CFAS |
PDF++ |
| Form 1513 |
Original Licensing/Relicensing/Changes for Foster Home Licensing |
CFAS |
PDF++ |
| Form 1521 |
Application for License |
PD |
PDF++ |
| Form 1522 |
Application for Renewal of License |
PD |
PDF++ |
| Form 1524 |
Notice of Change in Child-Placing Agency's Foster Family Home License |
CFAS |
PDF++ |
| Form 1527 |
Application for a Child-Placing Agency's Foster Family Home License |
CFAS |
|
| Form 1531 |
Foster Parent Agreement with DSS Regarding Placement of a Child |
HS |
PDF++ |
| Form 1536 |
Original Licensing/Relicensing/Changes for Residential Facility and Child Placing Agency Licensing |
PD |
PDF++ |
| Form 1538 |
DSS Transportation Log |
CFAS |
PDF++ |
| Form 1548 |
Responsible Father Registry Notice of Change |
ADOPT |
PDF++ |
| Form 1549 |
Responsible Father Registry Registration |
ADOPT |
PDF++ |
| Form 1571 |
Reference Letter for Foster/Adoptive Applicant |
HS |
PDF++ |
| Form 1572 |
Application to Foster Care/Adoption |
ADOPT |
|
| Form 1572 SPA |
Solicitud para CrianzaTemporal/Adopción |
HS |
|
| Form 1573 SPA |
Información Financiera |
ADOPT |
|
| Form 1574 |
Medical Report Form for Prospective Foster/Adoptive Parent |
HS |
|
| Form 1575 A |
Biological Family History Information |
ADOPT |
|
| Form 1575 A SPA |
Información E Historial De Familia Biológica |
ADOPT |
|
| Form 1606 |
Application for Participation for Child Care Homes |
CACFP |
PDF++ |
| Form 1613 1 |
CACFP Internal Controls |
CACFP |
|
| Form 1613 2 |
CACFP Fiscal Resources and Financial History |
CACFP |
|
| Form 1613 3 |
CACFP Sponsor Training Plan |
CACFP |
|
| Form 1613 4 |
CACFP Monitoring Schedule |
CACFP |
|
| Form 1613 5 |
Monitor Responsibility |
CACFP |
|
| Form 1620 |
Change Report Form for Simplified Reporters |
FAM |
|
| Form 1620 SPA |
Formulario Para Reportar Cambios Simples |
FA |
|
| Brochure 1622 |
What You Need to Know! Food Stamp Eligibility for Residents |
FNP |
|
| Form 1625 |
Sponsor Application for Participation |
SFSP |
PDF++ |
| Form 1633 |
Application for Participation for Child Care and Adult Day Care Centers in the Child and Adult Care Food Program (CACFP) |
CACFP |
PDF++ |
| Form 1633 2 |
Ethnic Racial Form |
CACFP |
|
| Form 1633 3 |
Center Training Plan |
CACFP |
|
| Form 1641 |
Monthly Claim for Reimbursement |
SFSP |
PDF++ |
| Form 1641 1 |
Multi-County Listing Claim for Reimbursement |
FS |
|
| Form 1645 |
Application for Free and Reduced-Price Meals in Adult Care Food Programs |
FNP |
|
| Form 1650 |
Child and Adult Care Food Program Child Enrollment Form |
CACFP |
PDF++ |
| Form 1667 |
Applicant/Recipient Information Questionnaire |
FI |
|
| Form 1667 SPA |
Cuestionario de Información del Solicitante/Beneficiario |
FI |
|
| Form 1668 |
Authorization for Special Investigation |
FS |
|
| Form 1669 |
Request for Information |
FNP/FI |
|
| Form 1669 SPA |
Petición de Información al Solicitante |
FS |
|
| Form 1670 |
Dependent Care Payment Verification Form |
FS |
PDF++ |
| Form 1670 SPA |
Formulario de Verificación de Pago por el Cuidado de un Dependiente |
FS |
PDF++ |
| Form 1766 |
Declaration Statement |
FS |
|
| Form 1766 SPA |
Declaración |
FS |
|
| Form 1903 |
Case Review and Change Report for IV-E Foster Care |
FA |
PDF++ |
| Form 1905 |
Referral for Field Operations and IV-E Eligibility Determination |
FA |
PDF+ |
| Form 1908 |
Application for IV-E Eligibility |
FA |
PDF+ |
| Brochure 1951 |
Clergy As Mandated Reporters |
CPS |
|
| Brochure 1952 |
Computer Techs As Mandated Reporters |
CPS |
|
| Brochure 1953 |
Film Processors As Mandated Reporters |
CPS |
|
| Brochure 1954 |
Reporting Institutional Abuse as a Mandated Reporter |
CPS |
|
| Brochure 1955 |
Mandated Reporter Guide |
CPS |
|
| Brochure 1956 |
Reporting Child Abuse Brochure |
CPS |
|
| Brochure 1957 |
Mandated Reporter Quick Reference Guide |
CPS |
|
| Brochure 1958 |
Safe Havens for Abandoned Infants |
CPS |
|
| Brochure 1959 |
Information Sharing with School Personnel |
CPS |
|
| Form 2012 |
Landlord/Owner Statement |
FI |
PDF++ |
| Form 2012 SPA |
Declaración del Propietario/Dueño |
FI |
|
| Form 2056 |
Psychotropic Medication Informed Consent |
MS |
|
| Booklet 2111 |
Intern Handbook |
SD&T |
|
| Brochure 2112 |
The Internship Program |
SD&T |
|
| Brochure 2401 |
The Adoption Reunion Register |
ADOPT |
|
| Brochure 2401 SPA |
El Registro de Reunión para las Personas Adoptadas |
ADOPT |
|
| Brochure 2402 |
Problem Pregnancy Here's Help |
ADOPT |
|
| Brochure 2402 SPA |
Un Embarazo Problemático Aquí Tiene Ayuda |
ADOPT |
|
| Brochure 2408 |
Administrative Disqualification Hearings |
IPR |
|
| Brochure 2408 SPA |
Audiencias de Descalificación Administrativa |
IPR |
|
| Brochure 2410 |
Fair Hearings |
IPR |
|
| Brochure 2410 SPA |
La Audiencia Imparcial |
IPR |
|
| Brochure 2412 |
The Adoption Option |
ADOPT |
|
| Brochure 2412 SPA |
La Opción de la Adopción |
ADOPT |
|
| Brochure 2416 |
Know Your Rights |
AS |
|
| Brochure 2416 SPA |
Conozca sus Derechos |
IPR/CR |
|
| Form 2418 |
Fair Hearing Information |
FA |
|
| Form 2418 ARAB |
Fair Hearing Information |
FA |
|
| Form 2418 BUR |
Fair Hearing Information |
FA |
|
| Form 2418 KIR |
Fair Hearing Information |
FA |
|
| Form 2418 RUS |
Fair Hearing Information |
FA |
|
| Form 2418 SPA |
Información Sobre una Audiencia Imparcial |
FA |
|
| Form 2418 SWA |
Fair Hearing Information |
FA |
|
| Form 2418 TIG |
Fair Hearing Information |
FA |
|
| Form 2418 VIET |
Fair Hearing Information |
CPS |
|
| Brochure 2419 |
Adoption Guidelines and Steps to Adoption |
ADOPT |
|
| Brochure 2419 SPA |
Guía para la Adopción y Pasos de la Adopción |
ADOPT |
|
| Brochure 2422 |
Questions and Answers About SNAP Benefits |
SNAP |
|
| Brochure 2422 SPA |
Preguntas y Respuestas Sobre Cupones de Alimentos |
SNAP |
|
| Poster 2427 |
Toll-Free From Anywhere in South Carolina |
FNP |
|
| Poster 2427 SPA |
Llamadas Gratuitas de Cualquier Lugar en Carolina del Sur |
FNP |
|
| Brochure 2444 |
SNAP 2 WORK Program |
SNAP |
|
| Brochure 2444 SPA |
Programa de Asistencia Nutricional Complementaria (SNAP por sus siglas en inglés) Programa de Entrenamiento y Trabajo |
SNAP |
|
| Poster 2452 |
SNAP: Your Rights |
SNAP |
|
| Poster 2452 SPA |
SNAP: Sus Derechos |
SNAP |
|
| Form 2454 |
Roomer/Boarder Payment Verification Form |
FAM |
|
| Form 2454 SPA |
Formulario de Confirmación de Pagos por Concepto de Alojamiento Con/Sin Comida |
FAM |
|
| Brochure 2475 |
Important Information About Nonrecurring Costs for Parents Who Have Adopted a Child With Special Needs |
ADOPT |
|
| Brochure 2475 SPA |
Información Importante Sobre el Reembolso de Gastos No Recurrentes para Padres que Están Adoptando a un Niño con Necesidades Especiales |
ADOPT |
|
| Brochure 2483 |
Keep Your Home and Children Safe From Fire |
FI |
|
| Brochure 2493 |
Daniel's Law |
PA |
|
| Brochure 2493 SPA |
La Ley de Daniel |
PA |
|
| Brochure 2495 |
Faith-Based Initiative |
CRD |
|
| Flyer 2496 |
The Safe Haven for Abandoned Babies Act |
HS |
|
| Poster 2497 |
The Safe Haven for Abandoned Babies Act |
HS |
|
| Form 2533 |
MEPA Educational Materials |
ADOPT |
|
| Form 2534 |
Licensed Professional's Statement |
ADOPT |
|
| Form 2535 |
Notice |
ADOPT |
|
| Form 2540 |
Shaken Baby Video |
ADOPT |
|
| Form 2601 |
Civil Rights Discrimination Complaint Form |
IPR/CR |
|
| Form 2601 SPA |
Formulario de Quejas por Discriminación de los Derechos Civiles |
IPR/CR |
|
| Form 2627 A |
Repayment Agreement and Acknowledgment of Debt |
FAM |
PDF++ |
| Form 2627 A SPA |
Acuerdo de Pagos y Reconocimiento de Deuda |
FAM |
|
| Form 2633 |
Request for Fair Hearing |
IPR |
|
| Form 2633 SPA |
Solicitud de Audiencia Imparcial |
IPR |
|
| Form 2647 |
State and Federal Fingerprint Review Transmittal Form |
INV |
PDF++ |
| Form 2647 1 |
State and Federal Fingerprint Review Transmittal Form (Resubmit Only) |
INV |
PDF++ |
| Poster 2660 |
Do you need an interpreter or other reasonable accommodations? |
IPR/CR |
|
| Poster 2660 SPA |
¿Necesita un intérprete u otro acomodo razonable? |
IPR/CR |
|
| Poster 2661 |
Interpretation Service Available |
IPR/CR |
|
| Poster 2661 SPA |
Servicios de Interpretación Disponibles |
IPR/CR |
|
| Form 2665 |
Certification for $8 Reduced Criminal Record Search Fee |
INV |
PDF++ |
| Form 2667 |
Spanish-English Interpreting Invoice |
IPR/CR |
PDF++ |
| Form 2700 1 |
Custodial Parents Application for Child Support Services |
CSE |
|
| Form 2700 1 SPA |
Solicitud Para el Padre/La Madre en Custodia de Servicios Para la Manutención Para Menores |
CSE |
|
| Booklet 2712 |
For Your Child's Sake...Establish Legal Fatherhood |
CSE |
|
| Booklet 2712 SPA |
¡Por el bien de su hijo...iestablezca la paternidad legal! |
CSE |
|
| Form 2719 1 |
Change of Custodial Parent's Application for Child Support |
CSE |
|
| Form 2719 1 SPA |
Cambio de la Solicitud del Padre/la Madre con Custodia para Manutención para Menores |
CSE |
|
| Form 2719 2 |
Change of Custodial Parent's Application for Child Support |
CSE |
|
| Form 2719 2 SPA |
Cambio de la Solicitud del Padre/la Madre con Custodia para Manutención para Menores |
CSE |
|
| Form 2719 3 |
Change of Custodial Parent's Application for Child Support |
CSE |
|
| Form 2719 3 SPA |
Cambio de la Solicitud del Padre/la Madre con Custodia para Manutención para Menores |
CSE |
|
| Form 2719 4 |
Change of Custodial Parent's Application for Child Support |
CSE |
|
| Form 2719 4 SPA |
Cambio de la Solicitud del Padre/la Madre con Custodia para Manutención para Menores |
CSE |
|
| Form 2719 5 |
Change of Custodial Parent's Application for Child Support |
CSE |
|
| Form 2719 5 SPA |
Cambio de la Solicitud del Padre/la Madre con Custodia para Manutención para Menores |
CSE |
|
| Brochure 2797 |
South Carolina Parenting Opportunity Program |
CSE |
|
| Brochure 2797 SPA |
Programa de Oportunidades para Padres de Carolina del Sur |
CSE |
|
| Form 2810 |
Physician's Report |
CSE |
|
| Form 2900 |
General Record and Statement of Child's Health for Admission to Child Care Facility |
DC |
PDF++ |
| Form 2900 SPA |
Expediente General y Declarción Ingreso a una Guardería Infantil |
DC |
|
| Form 2901 |
Child Care Regulatory Services Medical Statement |
DC |
|
| Form 2902 |
Application to Operate a Child Care Facility |
CC |
PDF++ |
| Form 2905 |
DHEC-Fire Inspection Request: Child Care Facility |
DC |
PDF++ |
| Form 2908 |
Child Care Reference Release Statement |
DC |
PDF++ |
| Form 2909 |
Family Child Care Home Consumer Parent Statement |
DC |
PDF++ |
| Form 2922 |
Original or Renewal Registration of Family Child Care Home (FCCH) |
DC |
PDF++ |
| Form 2924 |
Central Registry Release of Information and Compliance Statement |
DC |
PDF++ |
| Form 2925 |
Director/Staff Evidence of Non-Conviction and Statement of Compliance |
DC |
PDF++ |
| Form 2927 |
Household Member List |
CC |
PDF++ |
| Form 2930 |
Authorization for Intervention, Therapy and Extracurricular Activities |
CC |
PDF++ |
| Form 2944 |
Original or Continuing Registration Study for a Facility Operated by A... |
DC |
PDF++ |
| Form 2945 |
Current Faith-Based Facility List of Children |
CC |
PDF++ |
| Booklet 2955 |
S.C. Child Care Licensing Law |
DC |
|
| Booklet 2960 |
Regulations for Family Child Care Homes |
CC |
|
| Form 2963 |
Child Care Facility Current List of Children |
DC |
PDF++ |
| Brochure 2966 |
A Guide to Key Regulations |
DC |
|
| Brochure 2969 |
Emergency Procedures for Child Care Providers |
DC |
|
| Form 2970 |
Supervisory Visit Form for Licensed Centers |
DC |
PDF++ |
| Form 2971 |
Supervisory Visit Form for Licensed Group Child Care Homes |
DC |
PDF++ |
| Form 2972 |
Supervisory Visit Form for Registered Church Child Care Centers |
DC |
PDF++ |
| Booklet 2974 |
Child Care Emergency Plan Template |
DC |
PDF++ |
| Booklet 2974 SPA |
Modelo de un Plan de Emergencia para Programas de Cuidado Infantil |
DC |
|
| Brochure 3001 |
Foster or Adopt a Child |
FPCWS |
|
| Brochure 3001 SPA |
Nuestros Niños, Nuestro Futuro |
HS |
|
| Form 3004 |
ABC Child Care Program CPS/FC Child Care Referral Form |
ABC |
PDF++ |
| Form 3006 |
Suspected Child Abuse and Neglect Referral for Health Professional... |
CFAS |
PDF++ |
| Form 3008 |
Child Factors Checklist |
ADOPT |
|
| Brochure 3034 |
Child Protective Services: A Guide for Parents |
CPS |
PDF++ |
| Brochure 3034 SPA |
Servicios de Protección a Menores: Una Guía para los Padres |
CPS |
PDF++ |
| Card 3039 |
Helpline Phone Card |
FPCWS |
|
| Brochure 3053 |
Child Protective Services: A Guide for Caregivers in Out of Home Settings |
CPS |
|
| Brochure 3066 |
Caring for Children... Caring for Families... Caring for the Future |
CPS |
|
| Brochure 3066 SPA |
CPS |
|
|
| Form 3072 |
Consent to Release Information |
HS |
|
| Form 3072 SPA |
Permiso para Divulgar Información |
HS |
PDF+ |
| Form 3082 |
Abandoned Infants Form for Safe Havens |
CPS |
PDF++ |
| Form 3087 |
Safety Plan |
CPS |
|
| Form 3249 |
Verification of Application for Social Security Number |
FAM |
|
| Form 3249 SPA |
Verificación de Solicitud de Número de Seguro Social |
FAM |
|
| Form 3302 |
Preoperational Site Visit |
SFSP |
|
| Form 3303 |
Change Form |
SFSP |
|
| Form 3306 |
SFSP Site Information Application |
SFSP |
PDF++ |
| Form 3307 |
Daily Record for Week of: |
SFSP |
|
| Brochure 3310 |
Child and Adult Care Food Program in Emergency Shelters |
CACFP |
|
| Form 3314 |
Claim for Reimbursement – At-Risk Afterschool Snack Program |
CACFP |
PDF++ |
| Form 3314 A |
Claim for Reimbursement/Afterschool Snack Program |
FA |
PDF++ |
| Form 3320 |
Claim for Reimbursement |
CACFP |
PDF++ |
| Form 3321 |
Claim for Reimbursement |
FNP/CACFP |
PDF++ |
| Brochure 3328 |
Questions and Answers About Being a Day Care Home Sponsor |
CACFP |
|
| Form 3329 |
Pre-Approval Training Checklist for Child-Care Home Providers |
FNP |
|
| Poster 3332 |
Senior Farmers' Market Nutrition Program |
SFMNP |
|
| Brochure 3333 |
Supplemental Nutrition Assistance Program (SNAP) CAN HELP! |
SNAP |
|
| Brochure 3333 SPA |
Programa de Asistencia Nutricional Suplementaria (SNAP) ¡PUEDE AYUDAR! |
SNAP |
|
| Card 3334 |
Attention Seniors: Healthy Helpings |
SNAP |
|
| Brochure 3335 |
Emergency Shelters Food Program |
CACFP |
|
| Brochure 3336 |
Summer Food Service Program |
SFSP |
|
| Brochure 3337 |
Afterschool Snack Program |
CACFP |
|
| Brochure 3338 |
The Child & Adult Care Food Program in Day Care Homes |
CACFP |
|
| Brochure 3339 |
The Child & Adult Care Food Program in Adult Care Centers |
CACFP |
|
| Brochure 3340 |
The Child & Adult Care Food Program in Child Care Centers |
CACFP |
|
| Flyer 3343 |
Come See What's For Lunch This Summer! |
SFSP |
|
| Flyer 3343 SPA |
Venga a ver lo que hay para almorzar este verano |
SFSP |
|
| Brochure 3344 |
Senior Farmers' Market Nutrition Program |
SFMNP |
|
| Flyer 3345 |
Senior Farmers' Market Nutrition Program |
SFMNP |
|
| Form 3350 |
Consolidated Weekly Meal Count Record |
SFSP |
|
| Brochure 3351 |
The Commodities Program |
TEFAP |
|
| Form 3353 |
Attendance Record |
CACFP |
PDF++ |
| Form 3354 |
Infant Statement |
CACFP |
PDF+ |
| Form 3354 SPA |
Declaración Sobre Infante |
FA |
PDF+ |
| Form 3356 |
Afterschool Snack Program Site Information Form |
CACFP |
PDF++ |
| Form 3357 |
At-Risk Afterschool Care Program/Outside School Hours Program Application for Participation |
CACFP |
PDF++ |
| Form 3357 ADDEN |
At-Risk Afterschool Care Program/Outside School Hours Care Program Application for Participation – Sponsor Addendum |
CACFP |
PDF++ |
| Form 3358 |
Emergency Shelter Food Program (ESP) Facility Information Form |
FA |
PDF++ |
| Form 3359 |
Emergency Shelters Program (ESP) Application For Participation |
FA |
PDF++ |
| Form 3360 |
Senior Farmers' Market Nutrition Program Application |
SFMNP |
|
| Form 3362 |
SNAP Employment and Training Program - ABAWD Referral Form |
SNAP |
PDF++ |
| Form 3362 SPA |
Programa de Empleo y Capacitación de SNAP - Formulario de Derivación al Programa ABAWD |
SNAP |
PDF++ |
| Form 3363 |
SNAP Employment and Training Program - Noncompliance Notice |
SNAP |
PDF++ |
| Form 3364 |
SNAP Employment and Training Program - Personal Responsibility Agreement (PRA) |
SNAP |
|
| Form 3365 |
SNAP 2 WORK Program - Job Search Activity Log |
SNAP |
|
| Form 3401 |
Claims for Reimbursement |
CACFP |
|
| Form 3401 A |
Claim for Reimbursement Addendum |
FA |
PDF++ |
| Brochure 3459 |
Food Watch During Disasters |
SNAP |
|
| Brochure 3460 |
Truth or Consequences |
SNAP |
|
| Poster 3463 |
Do you have a complaint against the Supplemental Nutrition Assistance Program (SNAP)? |
SNAP |
|
| Poster 3463 SPA |
¿Tiene usted una queja contra el Programa de Asistencia Nutricional Complementaria (SNAP por sus siglas en inglés)? |
SNAP |
|
| Brochure 3464 |
Do you have a complaint against the Supplemental Nutrition Assistance Program (SNAP)? |
SNAP |
|
| Brochure 3464 SPA |
¿Tiene usted una queja en contra del programa de asistencia nutricional complementaria (SNAP, por sus siglas en inglés)? |
SNAP |
|
| Brochure 3735 |
Temporary Assistance for Needy Families (TANF) Application Information - Your Key to Economic Independence |
FI |
|
| Brochure 3735 SPA |
Información sobre la solicitud de Asistencia Temporal para Familias Necesitadas (TANF) - Su clave para la independencia económica |
FI |
|
| Form 3773 |
ABC Child Care Program Level C Provider Rate Form |
ABC |
|
| Form 3774 |
ABC Child Care Program FFN Child Care Enrollment and Agreement |
ABC |
|
| Form 3776 |
ABC Child Care Program FFN Child Care Certification |
ABC |
|
| Form 3778 |
ABC Child Care Program FFN Provider Health and Safety Grant Reimbursement Request |
ABC |
|
| Brochure 3780 |
Child Support and You |
FI |
|
| Brochure 3785 |
Temporary Assistance for Needy Families (TANF) - What it's all about. |
FI |
|
| Brochure 3785 SPA |
Asistencia Temporal para Familias Necesitadas (TANF) - Se trata de esto. |
FI |
|
| Form 3793 |
ABC Child Care Program Important Notification to Provider |
FI |
PDF++ |
| Form 3800 |
Application for the FI Program, SNAP Program and Refugee Assistance (RA) Program |
SNAP |
|
| Form 3800 SPA |
Solicitud para el Programa de Independencia Familiar (FI), Programa de Asistencia Nutricional Complimentaria (SNAP), Programa de Asistencia para Refugiados (RA) |
SNAP |
|
| Form 3800 A |
Your Rights and Responsibilities |
FA |
PDF++ |
| Form 3800 A SPA |
Sus Derechos y Responsibilidades |
FI |
|
| Form 3807 A |
Mailed Recertification Form |
FI |
PDF++ |
| Form 3807 A SPA |
Formulario de Recertificación por Correo |
FNP/FI |
PDF++ |
| Form 3809 |
Simplified Renewal for the Elderly - Notice of Expiration |
SNAP |
|
| Form 3809 SPA |
Simplified Renewal for the Elderly - Notice of Expiration |
SNAP |
|
| Form 3816 A |
Child Support Referral Child Data |
CHIP |
|
| Form 3816 A SPA |
Remisión de Manutención Infantil Datos de los Menores |
CHIP |
|
| Form 3816 B |
Child Support Referral Absent Parent Data |
CHIP |
|
| Form 3816 B SPA |
Referencia de Apoyo Infantil Datos del Padre Ausente |
CHIP |
|
| Brochure 3903 |
"Making the Difference; One Child at a Time" |
MTS |
|
| Brochure 3904 |
Specialized Foster Home Services |
MTS |
PDF+ |
| Brochure 3905 |
Specialized Foster Home Services – Greenwood |
MTS |
|
| Brochure 3905 1 |
Specialized Foster Home Services – Region IV |
IFCCS |
|
| Form 4000 |
Notice of HIPAA Privacy Practices Acknowledgement |
AS |
Word |
| Form 4000 SPA |
Aceptación de la Notificación de Prácticas Privadas de HIPAA |
AS |
|
| Form 4001 |
Request for Privacy Protection for Protected Health Information |
HIPAA |
|
| Form 4002 |
Request for Confidential Communication of Protected Health Information |
HIPAA |
|
| Form 4004 |
Request for Access to Protected Health Information |
HIPAA |
|
| Form 4005 |
Request for Amendment of Protected Health Information |
HIPAA |
|
| Booklet 4017 |
Notice of HIPAA Privacy Practices |
AS |
|
| Booklet 4017 SPA |
Notificación de Prácticas Privadas de HIPAA |
AS |
|
| Form 12108 |
Verification of Receipt of Family Independence (FI) Benefits |
FI |
PDF++ |
| Form 12111 |
Pocket Resume |
FI |
|
| Form 16108 |
USDA Commodity Food Loss Report |
TEFAP |
PDF++ |
| Form 16119 |
Child and Adult Care Food Program Statement of Authority |
CACFP |
PDF++ |
| Form 16121 |
Statement of Ownership - For-Profit Institutions |
CACFP |
|
| Form 16122 |
Certification Statement - Non-Profit Institutions |
CACFP |
|
| Form 16149 |
Meal Record for Infants |
CACFP |
|
| Form 16150 |
Individual Infant Meal Record |
CACFP |
|
| Flyer 16161 |
Healthy Helpings – Insert for the "Thrifty Meals" Cookbook |
FS |
|
| Form 16163 SPA |
Acuerdo Respecto al Reclamo de FI/SNAP |
FAM |
|
| Form 16168 |
Commodity Supplemental Food Program Application |
FNP/CSFP |
PDF++ |
| Form 16169 |
Commodity Supplemental Food Program Participant Agreement |
FNP/CSFP |
|
| Brochure 16173 |
Commodity Supplemental Food Program Attention Seniors |
FNP/CSFP |
|
| Flyer 16174 |
Commodity Supplemental Food Program for Women, Infants and Children |
FNP/CSFP |
|
| Form 16176 |
Application for the Food Stamp Program Simplified Application for the Elderly |
SNAP |
PDF++ |
| Form 16176 SPA |
Solicitud Simplificada para Personas de Mayor Edad |
SNAP |
PDF+ |
| Form 16177 |
Elderly Simplified Application Project Letter |
SNAP |
|
| Form 16177 SPA |
Proyecto de Solicitud Simplificada para los Ancianos |
SNAP |
|
| Brochure 16178 |
Elderly Simplified Application Project Brochure |
SNAP |
|
| Brochure 16178 SPA |
Proyecto de Solicitud Simplificada para los Ancianos |
SNAP |
|
| Form 16179 |
The Emergency Food Assistance Program Commodity Issuance Log |
FNP |
PDF++ |
| Form 16180 |
The CSFP Nutrition Education Activity Sheet |
FNP/CSFP |
PDF++ |
| Form 16181 |
Change Report Form for the Elderly Simplified Application Project (ESAP) |
SNAP |
|
| Form 16182 |
CSFP Authorized Representative (Proxy) Designation Form |
FA |
|
| Form 16183 |
Expedited Screening Tool |
SNAP |
|
| Form 16184 |
Food Stamp Case Review Sheet |
SNAP |
PDF++ |
| Poster 16185 |
The Commodity Supplemental Food Program (CSFP) Income Eligibility Guidelines |
FA |
|
| Poster 16186 |
The Emergency Food Assistance Program (TEFAP) Income Eligibility Guidelines |
FA |
|
| Brochure 24117 |
Fraud Busters |
FNP/FI |
|
| Flyer 24118 |
SCEBT Information (includes Spanish version) |
FS/EBT |
|
| Brochure 24126 |
South Carolina Family Independence Information and Referral Services |
FI |
|
| Brochure 24126 SPA |
Servicios de Información y Referencia de Independencia Familiar de Carolina de Sur |
FI |
|
| Poster 24127 |
Attention South Carolina EBT Recipients |
SNAP |
|
| Form 27103 |
Non-Custodial Parent's Application for Child Support Services |
CSE |
|
| Form 27105 |
Instructions for Financial Declaration |
CSE |
|
| Form 27115 |
Notice for Parent Locate Service |
CSE |
|
| Form 27126 |
Order/Notice to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support |
CSE |
PDF+ |
| Brochure 27137 |
You Matter – VIP Program |
CSE |
|
| Brochure 27137 SPA |
Usted Importa - VIP Program |
CSE |
|
| Form 27151 |
Child Support Obligation: Worksheet A |
CSE |
|
| Form 27156 |
Financial Declaration |
CSE |
PDF++ |
| Form 27156 SPA |
Declaración Financiera |
CSE |
|
| Form 27191 |
Review Packet Instructions |
CSE |
|
| Form 27191 SPA |
Paquete de Revisión: Instrucciones |
CSE |
|
| Form 27192 SPA |
Health Insurance Support Review Letter (HIRN) |
CSE |
PDF++ |
| Form 27193 SPA |
Health Insurance Support Review Letter (HSRC) |
CSE |
PDF++ |
| Form 30100 |
Openness Checklist for Birth Parents |
ADOPT |
|
| Form 30102 |
Medical Statement for Household Members |
HS |
PDF+ |
| Form 30103 |
Intake Form |
ADOPT |
PDF++ |
| Form 30103 SPA |
Formulario de Admisión |
ADOPT |
|
| Form 30163 |
SCDSS Children and Youth in Foster Care Bill of Rights |
HS |
|
| Form 30165 |
Criminal Court Data |
FPCWS |
PDF++ |
| Brochure 30166 |
Foster Care: What It's All About |
FPCWS |
|
| Brochure 30172 |
Adoption Preservation |
ADOPT |
|
| Brochure 30172 SPA |
Conservación de la Adopción |
ADOPT |
|
| Form 30198 |
Funding Request for Independent Living Services |
HS |
PDF++ |
| Brochure 30199 |
Disaster Preparedness For Foster and Adoptive Parents |
FPCWS |
|
| Form 30201 |
Checklist for Foster/Adoptive Home Study |
HS |
PDF+ |
| Form 30201 SPA |
Lista de Control para el Estudio de Hogares de Adopción/Crianza Temporal |
HS |
|
| Form 30202 |
Medical Statement for Child |
HS |
PDF+ |
| Form 30206 |
P.A.T.T.Y. Providing Assistance to Transitioning Youth Program |
HS |
PDF++ |
| Form 30219 |
Discipline Agreement |
HS |
PDF+ |
| Form 30220 |
Training Evaluation |
HS |
PDF+ |
| Form 30221 |
Assessment of Applicant Participation in Foster/Adoptive Training |
HS |
PDF+ |
| Form 30222 |
Interest Letter |
HS |
PDF++ |
| Form 30224 |
Notice to Foreign Consul of Child Protection Proceedings |
CPS |
PDF++ |
| Form 30224 SPA |
Aviso para el Consulado Extranjero de un Procedimiento de Protección de Menores |
HS |
PDF+ |
| Booklet 30230 |
Child Abuse, Child Neglect: What Parents Should Know if They Are Investigated |
CPS |
|
| Booklet 30230 SPA |
Abuso del Menor, Descuido del Menor: Lo Que Los Padres Deberían Saber Si Están Siendo Investigados |
CPS |
|
| Brochure 30232 |
Domestic Violence |
HS |
|
| Brochure 30232 SPA |
La Violencia Doméstica |
HS |
|
| Brochure 30234 |
Multiethnic Placement Act |
ADOPT |
|
| Brochure 30234 SPA |
La Ley de Colocación Multiétnica |
ADOPT |
|
| Form 30235 |
IL Mentoring Outline |
HS |
|
| Form 30236 |
IL Tutoring Request and Progress Report |
HS |
|
| Form 30237 |
IL Invoice for Youth Graduation Award |
HS |
PDF++ |
| Form 30238 |
IL Emancipation Budget Analysis Sheet |
HS |
PDF++ |
| Form 30239 |
IL Shower Request Form |
HS |
PDF++ |
| Form 30242 |
Developmental Milestones Chart |
HS |
|
| Form 30245 |
Education and Health Passport |
FC |
PDF++ |
| Form 30246 |
Foster/Adoptive Family Disaster Plan |
HS |
|
| Form 30247 |
Emergency Shelter Placement Authorization |
HS |
|
| Form 30248 |
Responsible Father Registry - Revocation of Claim Paternity |
HS |
|
| Form 30249 |
Foster Care Respite/College Youth Overnight Payment Invoice |
HS |
|
| Booklet 30253 |
Child Abuse, Child Neglect: What Out of Home Caregivers Should Know if They Are Investigated |
HS |
|
| Form 30254 |
NYTD Services Provided by the Youth's Placement Provider |
HS |
|
| Booklet 30255 |
NYTD Categories for Independent Living Services |
HS |
|
| Booklet 30258 |
Independent Living - Guidelines for Services |
HS |
|
| Form 30259 |
Education Encounter Form |
FC |
PDF++ |
| Form 30260 |
Medical/Dental Encounter Form |
FC |
PDF++ |
| Form 30263 |
Forster Care Documentation - Visitation, Maintaining Connections |
PDF++ |
|
| Form 30264 |
Foster Parent Documentation - Events |
PDF++ |
|
| Form 30265 |
Physician or Current Health Service Provider(s) and Telephone Numbers |
|
|
| Booklet 30267 |
Independent Living - Guidelines for Services (Youth Version) |
HS |
|
| Poster 37100 |
SNAP Employment and Training Program |
SNAP |
|
| Poster 37100 SPA |
SNAP Programa de Empleo y Capacitación |
SNAP |
|
| Form 37101 |
ABC Child Care Program Level C Provider Enrollment and Agreement |
ABC |
|
| Booklet 37102 |
ABC Child Care Program Level C Provider Business Procedures |
ABC |
|
| Booklet 37103 |
ABC Child Care Program FFN Provider Business Procedures |
ABC |
|
| Booklet 37104 |
ABC Child Care Program Handbook for Parents |
ABC |
|
| Booklet 37105 |
ABC Child Care Program Level A and B Provider Business Procedures |
ABC |
|
| Form 37106 1 |
ABC Child Care Program Level A Provider Agreement |
ABC |
|
| Form 37106 2 |
ABC Child Care Program Level B Provider Agreement |
ABC |
|
| Form 37107 |
ABC Child Care Program Level A and B Provider Rate Form |
ABC |
PDF++ |
| Form 37108 |
ABC Child Care Program Level A and B Provider Enrollment Form |
ABC |
|
| Form 37109 |
ABC Child Care Program Fair Hearing Process Notice |
ABC |
|
| Card 37112 |
FI/SNAP Call Center Cards |
FA |
|
| Form 37113 |
Supplemental Nutrition Assistance Program (SNAP) Contribution Form |
SNAP |
PDF++ |
| Form 37113 SPA |
Formulario de Contribuciones |
SNAP |
|
| Form 37117 |
ABC Child Care Program Guardianship/In Loco Parentis Verification |
ABC |
|
| Poster 37118 |
FI/SNAP Call Center |
FAM |
|
| Poster 37118 SPA |
FAM |
|
|
| Brochure 37119 |
Families First - Family Group Conferencing |
FF |
|
| Card 37123 |
FI/SNAP Call Center Cards - Greenville |
FA |
|
| Card 37125 |
Family Assistance Interview Center Cards |
FAM |
|
| Form 37126 |
Out of State Provider Enrollment Form and Agreement |
ABC |
|
| Form 37165 |
Interpreting Invoice - Languages Other than Spanish |
IPR/CR |
|
