Family and Social Services Administration

State of Indiana

Official Website: https://forms.in.gov

The Indiana Archives and Records Administration (IARA) assists State and local governments in the cost-effective, efficient and secure management of governmental records, by providing services throughout the life cycle of records, including creation, use, storage, and disposition.

Forms & Documents

Browse all Family and Social Services Administration government forms

1 - 20 of 300 forms

Form Title Topics
Action on Voluntary Application Family And Social Services Administration
Affidavit for Replacement of Supplemental Nutrition Assistance Program Family And Social Services Administration
Affidavit of Indigency Family And Social Services Administration
Agency Application - Additional Providers Family And Social Services Administration
Alcohol and Other Drugs (AOD) Screen Client Contact Log - Indiana Access to Recovery Family And Social Services Administration
Alternative Clinical Provider Client Contact Log - Indiana Access to Recovery (ATR Family And Social Services Administration
Alzheimer's / Dementia Special Care Unit Family And Social Services Administration
Annual IFSP Checklist Family And Social Services Administration
Annual Preparation Checklist Family And Social Services Administration
Application for Certification as an Addiction Treatment Services Provider Family And Social Services Administration
Application for Child Care Home License Family And Social Services Administration
Application for Child Care Home Variance or Waiver Family And Social Services Administration
Application for Commission on Rehabilitation Services Family And Social Services Administration
Application for Community Mental Health Center Certification Family And Social Services Administration
Application For Developmental Disability Services Family And Social Services Administration
Application for Emergency Detention of Mentally Ill and Dangerously or Gravely Disabled Person Family And Social Services Administration
Application for Healthy Indiana Plan Supplemental Questionnaire Family And Social Services Administration
Application for Licensure for Private Mental Health Institution Family And Social Services Administration
Application for Medicare Savings Program Family And Social Services Administration
Application for Provider Certification - Aged and Disabled Waiver (A&D) - Traumatic Brain Injury Waiver (TBI Family And Social Services Administration

Contact Information & Office Locations

1 contact point

IARA Central Office (Records and Forms Management)

Address:
IARA Central Office (Records and Forms Management):
402 W. Washington Street
Room W472
Indianapolis, IN 46204-2744

Phone numbers:
  • (317) 232-3380 (IARA Central Office (Records and Forms Management))
  • (317) 591-5222 (Indiana State Archives)
  • (317) 233-3746 (State Imaging and Microfilm Lab)
  • (317) 591-5326 (Records Center)
Fax numbers:
  • (317) 233-1713 (IARA Central Office (Records and Forms Management))
  • (317) 591-5324 (Indiana State Archives)
  • (317) 591-5328 (Records Center)

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