If all of the answers in Parts A or B are NO, SIGN and DATE BELOW: LEVEL I SCREEN IS NEGATIVE FOR SMI OR ID/DD DATE AND TIME COMPLETED: THE PATIENT MAY BE ADMITTED TO THE NF: . Kim naj lewaj juon am dri ukok eo ejjelok wonen. HRD Internal Complaint Form HRD-1 Form - Position Action Form HRD Form 259 - Request for Administrative Review of Classification Action HRD Form 276 - Request for Administrative Review of Initial Pricing Action 1-888-764-7586 , , 1-888-764-7586, . DHS 952 Statement of Operation Policies. Application Forms and Instructions for Before & After School Child Care Facility (BAS), Group Child Care Center (GCC), Group Child Care Home (GCH), and Infant & Toddler Child Care Center (IT): DHS 948 Authorization for Background Check and to Release Information (fillable .pdf), DHS 948B Non-Criminal Justice Applicant Privacy Rights, DHS 951 Application for License to Operate a Group Child Care Center or Group Child Care Home, DHS 954 Child Care Center Staff and Volunteer Listing, DHS 958 Instructions for Employment History Clearance, DHS 959A Self-Certification of Employment, DHS 961A Instructions for Background Checks Oahu, DHS 961D Instructions for Background Checks Neighbor Island, DHS 962 Synopsis of Criminal History Law Requirements, DHS 969 Child Care Licensing Self-Certification Form, DOE Form 14 Childs Health Record (or comparable documentation), DHS 908 Early Childhood Pre-K Health Record Supplement (rev 9/15) (required for entry into the GCC, GCH, and IT), DHS 908A Instructions for DHS 908_(rev 9/15), DHS 950 Guide for GCC, GCH, BAS, IT Licensing, DHS 970 Reference Guide for Preschool Staff Qualifications, DHS 971 Reference Guide for Infant/Toddler Staff Qualifications, DHS 972 Reference Guide for Before/After School Care Staff Qualifications, DHS 974 A Notification of Change(s) Form (BAS, GCC, GCH, IT), DHS 975 Request to Increase or Determine License Capacity and Agreement, DHS 984B Instructions for the Medical Report Form, DHS 951 Application for License to Operate a, DHS 974 A Notification of Change(s) Form (. Kirtok 1-888-764-7586 im kwalok non kim kajin ta eo kwo melele im kenono kake. In two-parent families, BOTH parents/caretakers must be participating in any of the above activities; Income limits by family size: Gross monthly income (before taxes and deductions) must not exceed 85% of the State Median Income for the family size. PASRR Applicable DSM-III-R Diagnoses. DHS 961 Instructions for Criminal Check. They are used in all various kinds of industries and organizations. Tumawag sa 1-888-764-7586 para sabihin kung anong lengguwahe ang nais ninyong gamitin. Department of Human Resources Development, Certification of Significantly Disabled Individual for Selective State Employment Program Eligibility, HRD Form 259 Request for Administrative Review of Classification Action, HRD Form 282 Request for Exemption of Contractual Service, HRD Form 282A Request for Exemption of ContractualServices Attachment A, HRD Form 282B Request for Exemption of Contractual Services Attachment B, HRD Form 282C Request for Exemption of Contractual Services Attachment C, HRD Form 282D Request for Exemption of Contractual Services Attachment D, HRD Form 282R Renewal Certification Statement, HRD Form 282R_ Renewal Certification Statement Form Instructions, HRD Form 282V Departmental Notification of Vendor Selected, HRD Form 282V_ Departmental Notification of Vendor Selected Form Instructions, HRD Form 282VE Departmental Notification of Vendor Selected For *Emergency Contract, HRD Form 282VE_ Departmental Notification of Vendor Selected For *Emergency Contract Form Instructions, HRD Form 283 Selective Certification Requirements, HRD 319 Hawaii State Residency Questionnaire, HRD 319a Certification of Hawaii Residency, HRD 319b Hawaii Residency Requirement Form, HRD 324a Authorization Certificate for Release of Employment Information, HRD 395 Request for Approval of Appointment Above the Minimum Pay Rate, HRD Form 395a Delegated Request for Approval of Appointment Above the Minimum Pay Rate, HRD Form 410 (text version) For HRD Sponsored Course Registration, HRD FORM 613 Discrimination Complaint Form, HRD G-1/DR Application for Leave to Provide Disaster Relief Services, HRD FormPTC-1 Application for Parent-Teacher Conference Leave, HRD Form T23 Job Related Desirable Qualification(s), Incentive and Service Awards Nomination Forms, Mental Residual Functional Capacity Assessment. *NCCPA may issue a range o (1-888-764-7586) . fines, imprisonment, and removal from the program. _____ Be sure to include this identification at the bottom of every page. Dhs 908 Fill Online Printable Fillable Blank PdfFiller An official website of the United States government. Public Assistance Information Line 1-855-643-1643. The donation drop off area is open Monday thru Friday from 0800-1600. 1100B - Fill Out and Sign Printable PDF Template | signNow Federal government Forms like DHS 1147 Form Hawaii can be found on the DHS website and on other government websites such as USCIS, SSA, and FEMA. PDF E Komo Mai! - Hawaii Sipwe angei emon chon chiaku ngonuk ese kamo. This means we have received your application. Each family has different child care needs and preferences. Department of Agriculture (USDA) meal program. Vili mai i le numera lea 1-888-764-7586 pea e mana'o mia se fesosoani mo se faaliliu upu. During the interview, parents are asked to choose a child care provider and are issued a Child Care Certificate and Provider Confirmation Form to be completed by the chosen provider. 'Oku ke fiema'u tokoni 'iha lea makehe? Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? health education on cancer prevention - klocker.media Call 1-888-764-7586 to tell us which language you speak. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. The Wahiawa Civic Center will be undergoing renovations. Bn c cn gip bng ngn ng khc khng ? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Change of residence. Necesita ayuda en otro idioma? They typically come in popular file formats, such as PDF or Microsoft Word, and are available for free or for purchase from websites and software providers. If you wish to change the mailing address please click this link. Kim naj lewaj juon am dri ukok eo ejjelok wonen. Kailangan ba ninyo ng tulong sa ibang lengguwahe? Gi 1-888-764-7586 ni cho chng ti bit bn dng ngn ng no. Kwoj aikuij ke jiban kin juon bar kajin? Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. Version Form Popularity Fillable & printable; . The advanced tools of the editor will guide you through the editable PDF template. Our Mission: To encourage self-sufficiency and support the well-being of individuals, families, and communities in Hawaii. Search for another form here. Once completed you can sign your fillable form or send for signing. Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. Kaaahi Women's & Family Shelter - Honolulu, HI - Yelp Distribution: Original to Employer; Copy . For families with children under the age of 13 years, the CCCH program provides subsidies to help pay for a variety of legal child care settings including: care provided in the childs home, care by relatives or friends in their home, before and after school programs, and preschools. PDF CHANGE REPORT FORM - Hawaii Department of Health Kirtok 1-888-764-7586 im kwalok non kim kajin ta eo kwo melele im kenono kake. The POD subsidy is used to assist with payments to DHS licensed group child care homes or centers (i.e. 1-888-764-7586 , , 1-888-764-7586, . Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? What are the Eligibility Requirements for Child Care Subsidy? E kelepona 1-888-764-7586 `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e. Masapulyo kadi ti tulong iti sabali a pagsasao? You must be a resident of the State of Hawaii to be eligible for Financial Assistance (Money) Assistance is provided to eligible children according to priority criteria based on the childs age, referral documentation for the child regarding underserved or at-risk factors, and the income of the family. EMPLOYMENT RECORD AND PAYROLL CERTIFICATION FORM . DHS Forms - medical.mybenefits.hawaii.gov Amo kang mahatagan ug libre nga maghuhubad. 'Oku ke fiema'u tokoni 'iha lea makehe? or https:// means youve safely connected to the .gov website. The DHS 1240 form is an application for financial and SNAP assistance. They are often utilized for things like requesting passports, visas, or social security numbers. By enrolling in Paperless Delivery, you acknowledge and agree to all of the following Terms and Conditions: In order to participate in Paperless Delivery, you must have: (i) access to a computer capable of connecting to the Internet; (ii) an Internet Service Provider; (iii) a browser capable of viewing the MyBenefits portal; (iv) an email service account that allows you to receive email; (v) the ability to open and view Adobe PDF files. Drop off was really simple. Copyright 2023, State of Hawaii. Kirtok 1-888-764-7586 im kwalok non kim kajin ta eo kwo melele im kenono kake. Please read the following Terms and Conditions carefully. BENEFIT, EMPLOYMENT AND SUPPORT (2/03). Once you enroll in Paperless Delivery you will set up a MyBenefits Account and provide a valid email address. If you receive SNAP, you must also report your rent, utilities and . Nosotros le ayudaremos a conseguir un intrprete gratuito. Once enrolled in Paperless Delivery, you will no longer receive paper documents or notifications pertaining to your application or benefits through physical mail. En mi niit alilis lon pwal eu kapas? Department of Human Services. PDF State of Hawaii Enter your official identification and contact details. A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. You may end your enrollment in Paperless Delivery at any time by logging into your MyBenefits Account and selecting the Paperless Preference hyperlink or by contacting the Department of Human Services. Report your new home and mailing address. 1-888-764-7586, ? Aloha from the Show details How it works Open the dhs 1266 and follow the instructions Easily sign the state of hawaii dhs forms with your finger Send filled & signed form 1266 dhs or save Rate the form 1266 4.7 Satisfied DHS 953 Statement of Legal Authority. Child Care Connection Hawaii Eligibility Requirements (general child care), Preschool Open Doors (POD) Eligibility Requirements. The goal of POD is to promote school readiness for children, and the program focuses on meeting the needs of the child. Dd Form Declaration - Fill Out and Sign Printable PDF Template | signNow Ikukuha namin kayo ng libreng tagasalin. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. Tumawag sa 1-888-764-7586 para sabihin kung anong lengguwahe ang nais ninyong gamitin. State Of Hawaii Dhs Forms - Fill Online, Printable, Fillable, Blank Child Care Center Licensing Forms Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han. ? Open the template in our online editing tool. They are also useful for those who are not proficient in graphic design, as they eliminate the need to start from scratch or hire a professional designer. Make use of the Sign Toolto create and add your electronic signature to signNow the DHS 1240 DHS 1100workingcopy form. The parent/guardian chooses the child care provider most appropriate for their child. Official websites use .gov Brauchen Sie Hilfe in einer andereren Sprache? State of Hawaii Department of Human Services For information about DHS Benefit, Employment and Support Services Division (BESSD) including SNAP and Financial Assistance, please visit: State of Hawaii Department of Human Services, Benefit, Employment and Support Services Division Website Learn About Law Enforcement Training Opportunities, Provide Feedback or Make Complaints to DHS, This page was not helpful because the content, Application to Replace Permanent Resident Card, DHS Traveler Redress Inquiry Program (DHS TRIP), Passport Application Forms, U.S. Department of State, Automated Clearinghouse Credit Enrollment, Declaration for Free Entry of Unaccompanied Articles, Certificate of Registration for Personal Effects Taken Abroad, National Emergency Training Center General Admissions Application, National Emergency Training Center General Admissions Short Form Application, Federal Emergency Management Administration, Federal Emergency Management Administration (Flood hazard), U.S. Secure .gov websites use HTTPS Note: When you enroll in paperless delivery, you will no longer receive paper documents in the mail. STATE OF HAWAII Department of Human Services Med-QUEST Division STATE OF HAWAII Level of Care (LOC) and At Risk Evaluation HEALTH SERVICES ADVISORY GROUP, INC. 1001 Kamokila Blvd., Suite 311, Kapolei, HI 96707 Phone: (808) 440-6000 Fax: (808) 440-6009 DHS 1147 (Rev. Amo kang mahatagan ug libre nga maghuhubad. E te mana'o mia se fesosoani i se isi gagana? akinahanglan ka ba ug tabang sa imong pinulongan? The following are links to various pages across DHS websites that have forms that the public might use. SERVICES DIVISION. 808-832-5300 or (toll free) 1-888-380-3088, Child Trafficking Reporting Hotline When you submit your application, you will receive a receipt with your application tracking number. Get Form Fill hawaii dhs 1266: Try Risk Free. The program has a time-limited application period established and published each year. click here, Limited English Proficiency and Non-Discrimination click here. Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han. The child care subsidy may be paid directly to families via an Electronic Benefits Transfer (EBT) card or direct deposit to the familys bank account, or a direct payment may be made directly to a licensed child care provider. What are the Eligibility Requirements for Child Care Subsidies? We will get you a free interpreter. Llame al 1-888-764-7586 y diganos que idioma habla. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. You can save your progress and return to it later. Hmsa Provider Application Form. Ikukuha namin kayo ng libreng tagasalin. Find several commonly used forms listed here. The Preschool Open Doors (POD) program is a separate subsidy program with limited funds that provides services state-wide to families sending their children to a licensed preschool during the school year prior to kindergarten entry. Call 1-888-764-7586 to tell us which language you speak. All forms are printable and downloadable. Sipwe angei emon chon chiaku ngonuk ese kamo. If you have any questions or concerns, please contact our Student Services Office . Ensure graduates of Pennsylvanias high schools are career ready. (1-888-764-7586) . Adult Protective and Community Services Branch, Family First Hawaii Family First Prevention Services Plan, Become a Resource Caregiver for Children in Foster Care, Independent Living Program For Former Foster Youth, Electronic Benefit Transfer (EBT) Online Purchasing, Low Income Home Energy Assistance (LIHEAP), Hawaii Electronic Benefit Transfer (EBT) Program, Online Application for Medical Assistance, Integration of DHS/DOH Behavioral Health Services, Notice of Request for an Extension of Hawaiis QUEST Expanded Section 1115 Demonstration, Proposed Medicaid Eligibility & Benefits Changes, Pre-existing Condition Insurance Plan (PCIP), Health Insurance Portability and Accountability Act of 1996: HIPAA, QUEST Expanded Section 1115 Demonstration Extension Application, Community Partners list for Health Coverage Assistance, Statewide Independent Living Programs (ILP), Hawaii Juvenile Justice State Advisory Council, To Report Lost, Stolen or Damaged EBT card 1-888-328-4292, Medical Assistance Information: 211 Emergency: 911. The US Government Forms are not just for the government. Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. Necesita ayuda en otro idioma? COMPLETE PART C (page 2) of this form. We've received your username request. Nous pouvons vous fournir gratuitement des services d'un interprte. State of Hawaii - Form DHS 1179A Change of Circumstance Report Form On average this form takes 27 minutes to complete Kailangan ba ninyo ng tulong sa ibang lengguwahe? Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. In order to work in a center-based program such as a preschool, infant/toddler center or group home, DHS requires you to complete Form 1. Hawaii DHS Form 1147 - A form template is an excellent way to produce a precise and expert looking form with very little effort, just by filling in the blanks according to your needs and printing the document.. Free Hawaii DHS Form 1147 Online. Department of Human Resources Development | DHRD Forms - Hawaii (1-888-764-7586) . E te mana'o mia se fesosoani i se isi gagana? DHS 1178 (Rev. RENEW MY BENEFITS Start an application for your annual or semi-annual review When ending enrollment in Paperless Delivery, it is your responsibility to ensure that the physical mailing address on file for your account is current. Free DHS 1240 Form Hawaii Online A United States government form is a document that is filled out to request or provide details from the US Government. Awaganyo ti 1-888-764-7586 tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo. SSD Provides protection from abuse and neglect for children and dependent adults. Now it is possible to print, download, or share the document. Awaganyo ti 1-888-764-7586 tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo. The goal of the Department of Human Services Child Care Licensing Program is to ensure the health, safety, and well-being of children enrolled in registered Family Child Care Homes and licensed child care centers (Before & After School Child Care Facilities, Group Child Care Centers & Group Child Care Homes, and Infant & Toddler Child Care Centers) by developing and enforcing minimum standards for these types of child care. . Secure .gov websites use HTTPS 03/21) Form Fillable. Our Vision: The people of Hawai'i are thriving. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. PAIS SNAP/TANF Application Portal - Hawaii The Child Care Connection Hawaii (CCCH) subsidy program helps low-income families to sustain their employment, educational efforts and job training by paying a subsidy for their children who are in the care of DHS-approved child care providers. Nous pouvons vous fournir gratuitement des services d'un interprte. Please call the . It is your responsibility to promptly check your MyBenefits Account after receipt of an email notification. Wir koennen Ihnen gern einen kostenlosen Dolmetscher besorgen. STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES BENEFIT, EMPLOYMENT AND SUPPORT SERVICES DIVISION Financial Assistance / SNAP Application APPLY NOW Start a new application for SNAP or financial assistance Do not use if you are renewing benefits. Wir koennen Ihnen gern einen kostenlosen Dolmetscher besorgen. PASRR Level I (DHS 1178) Instructions. For technical support, visit https://medquest.hawaii.gov/support. Need Assistance? Call 1-888-764-7586 to tell us which language you speak. Ikkandakayo iti libre nga paraipatarus. To update your email account, click the Update email button. Get HI DHS 1301 2000-2023 - US Legal Forms Has anyone ever received financial or SNAP assistance Type of Assistance Date Last Received County . All rights reserved. All child care providers, even if they are not licensed by DHS, need to have child abuse/neglect, adult perpetrator, and criminal history background checks completed in order to receive a DHS child care subsidy payment. . You must ensure that your email account has sufficient space for new emails and that your email server and spam-blocking software do not block our emails. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. SNAP Recertification, SNAP Application and Summer P-EBT UPDATES. Medical Evaluation for Persons with Mental Illness. *Available 6:30am - 5:45pm HST Mon - Sat, except State holidays. Ikkandakayo iti libre nga paraipatarus. Child Care Connections Hawaii Offices The Application Process: You may call or visit your nearest CHILD CARE CONNECTION HAWAII (CCCH) office to request an application or down load a copy (see link below). You can also call toll free 1-877-DHS-5678 to find out where your local Iowa Department of Human Services office is located.Call 800-532-1275.Pandemic Electronic Benefits Transfer (P. Eligible absences are determined: Spring 2020 March 16,. Summer 2021 School and Child Care P-EBT benefits will be available between August 11th and 20th, 2021. Amo kang mahatagan ug libre nga maghuhubad. DHS 959A Self-Certification of Employment. Forms & Documents - Arkansas Department of Human Services 'Oku ke fiema'u tokoni 'iha lea makehe? Information about PEBT 2021/ 2022. Department of Human Services can be found at the following Department of Human Services Med Quest Division - Hawaii REPORTED CHANGES WITH THIS FORM. You will soon receive an email if you have a registered account. The DHS 1157 page 1, the Mental States page 2, and the Functional Scales page 3, should be signed by the applicant/recipient's treating psychiatrist or psychologist. E te mana'o mia se fesosoani i se isi gagana? Llame al 1-888-764-7586 y diganos que idioma habla. Citizenship and Immigration Services. Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han. In addition to Directors, all staff that are used in the child/staff ratio must be registered. Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Kwoj aikuij ke jiban kin juon bar kajin? . Requirements for obtaining the background and criminal history clearances are explained at the time of the interview. Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. Share sensitive information only on official, secure websites. Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. Chng ti se yu cu mt ngi thng dch vin min ph cho bn. You are currently ENROLLED in paperless delivery with the following. Most Requested Forms Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. , 1-888-764-7586, . Below you will find links to all of the forms created and maintained by the Department of Human Resources Development: Copyright 2023, State of Hawaii. A lock For a full description of services provided by PATCH, click on the following website: https://www.patchHawaii.org. intentionally fail to report required information, you may incur substantial penalties, including Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. DHS Form 204 Form Instructions Prior Authorization Request For Air Transportation, Lodging, Meals And Ground Transportation (DHS Form 208) DHS Form 208 Form Instructions Authorization to Disclose Confidential Information BY The Med-QUEST Division (DHS 1123) DHS 1123 Form Instructions Press Doneafter you complete the form. Address the Supportsection or get in touch with our Support group in the event you have got any questions. Citizenship and Immigration Services. The Department of Human Services also supports the well-being of children and families by providing information about quality child care programs and how to select the best provider for your child, how to locate a child care provider in your community, as well as information and referrals to other community resources via People Attentive To Children (PATCH), a contracted provider. Google Chrome and Mozilla Firefox. Federal Poverty Levels - 3/2022-3/2023. Download PDF. Annual Income To be used by Departments when seeking approval for an employee to attend training sponsored by DHRD. An official website of the U.S. Department of Homeland Security. DHS 1100 "Application for Health Coverage and Help Paying Costs " DHS 1100 Instructions Telephone, Fax, or Mail Phone at 1-877-628-5076 Brauchen Sie Hilfe in einer andereren Sprache? The Departments Child Care Licensing Units monitor compliance with the child care law and the administrative rules and provides consultation and technical assistance to child care providers. A completed application along with supporting documents, such as birth certificates, income verification, and an intake interview are required before eligibility can be established and payment initiated. The parents are given a Choosing The Right Caregiver for your Keiki brochure and Health and Safety Checklist, to provide guidance in making their choice. Your 2-Step Verification preference has been reset. All rights reserved. Guidance and materials are provided during the office visit to help make this important choice. Follow the simple instructions below: The preparation of lawful papers can be costly and time-ingesting. Hawaii Level of Care Forms and Resources. These templates can be used for a variety of purposes, such as creating invoices, resumes, business cards, and more. DHS 957 Staff Sequence Form. Vili mai i le numera lea 1-888-764-7586 pea e mana'o mia se fesosoani mo se faaliliu upu. All rights reserved. Report Fraud & Abuse. Bn c cn gip bng ngn ng khc khng ? IHS is an independent, local 501c3 nonprofit organization that makes sure 100% of all donations stays in Hawaii. , 1-888-764-7586, . Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. akinahanglan ka ba ug tabang sa imong pinulongan? Child: Priority is given to children for the POD school year prior to kindergarten entry with priority for under-served or at-risk children; Parents or Caretakers: No activity requirement; Gross monthly income (before taxes and deductions) must not exceed the income limit for the familys size. Makemake la maua i ki`i `oe mea unuhi manuahi. Any documents or notifications sent prior to ending enrollment will not be mailed to your physical address. DHS 908 Early Childhood Pre-K Health Record Supplement, DHS 948 Consent to Release for Background Clearances and Disposition of Findings, DHS 950 Guide for GCC, GCH, BAS, IT Licensing, DHS 958 Instructions for Employment History Clearance, DHS 959A Self-Certification of Employment, DHS 970 Reference Guide for Preschool Staff, DHS 974A Notification of Change(s) Form (BAS, GCC, GCH, IT), DHS 975 Request to Increase or Determine License Capacity and Agreement, DHS 975A Instructions for Requests to Increase or Determine License Capacity, DHS 984B Instructions for the Medical Report Form, DHS 974 Notification of Change(s) Form (FCC), DHS 984A Instructions for the Medical Report Form for FCC, Child Abuse Reporting from neighbor islands, Child Trafficking Reporting from neighbor islands.

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