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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the date at the top of the form. Next, fill in the case name and case number as required.
  3. In the 'Request for Benefits' section, check all programs you wish to apply for, such as SNAP or TANF. Ensure you understand each program's description before making your selections.
  4. Provide your contact information in the designated fields, including your name, mailing address, and phone number.
  5. List all household members starting with the adult head of household. Fill in their details accurately, including Social Security numbers and citizenship status.
  6. Complete any additional questions regarding medical care needs or child care requirements as applicable.
  7. Finally, review all entries for accuracy before signing and submitting the form via fax or mail to your local OKDHS office.

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DHS. *Department of Human Services (now referred to as OHS) Also: Department of Homeland Security (federal agency) DME.
Address: 2401 NW 23rd Street, Suite 1-H. Oklahoma City, OK 73107. Phone: (405) 522-4700. Fax: (405) 522-4623.
Who do I report this to? This can be reported to either the Oklahoma City County Health Department at (405) 425-4347 or the Department of Human Services at (405) 521-3561.

People also ask

If you do not have computer access, call (405) 522-5050 for assistance.
Child Protective Services (CPS) are provided through Oklahoma Department of Human Services (OKDHS) to identify, treat and prevent child abuse and neglect.
What is a Customer ID? An 9-digit identification number assigned by OKDHS to be used to access Customer Services available through the OCSS Interactive Voice Response Telephone system.
(405) 521-2779, 1-877-751-2972, or email.
(A) An OCA investigator initiates an investigation by making face-to-face contact with the vulnerable adult, who is the alleged victim. (B) The OCA investigator initiates the investigation, as soon as possible, but within five-calendar days, and not to exceed 120 hours from the time of the receipt of the referral.

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