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HHS forms are used every day to perform tasks such as applying for benefits, contracting to provide goods or services, reporting incidents, declaring end of life wishes, and conducting other business.

ES = Spanish version available.

Title
Form 3214, Chemical Dependency Treatment Facility Satellite Site Notification
Form 1092, Change of Ownership Transfer Affidavit
Form 3259, Chemical Dependency Treatment Facility Court Commitment or Emergency Detention Acceptance Application
Form H1988, Disaster Assistance Grants
Form 3646, Request for Formal Hearing
Form H1008-A, Warrant Inquiry and EBT Benefit Conversion and Affidavit for Non-receipt of Warrant
Form 6108, Chemical Dependency Treatment Facility and Narcotic Treatment Program Incident Report
Form 6109, Special Care Facility Incident Report
Form 1570, ICF Request for Medical Need Assessment or Verification of RUG-III Category
Form 6107, Psychiatric Hospital Incident Report
Form 6102, Community Mental Health Center Facility Incident Report
Form 6101, Birthing Center Facility Incident Report
Form 2361, PASRR Specialized Services Fair Hearing Request
Form 4002, Management of Personal Funds and Payment for Support, Maintenance and Treatment ES
Form 5990, Contract Monitoring Exit Conference
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