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

241 - 260 of 300 forms

Form Title Topics
Release of Information - Indiana Access to Recovery Family And Social Services Administration
Rendering Provider Application Family And Social Services Administration
Report Following Emergency Detention Family And Social Services Administration
Report from Community Mental Health Center Family And Social Services Administration
Report from Division of Disability and Rehabilitative Services Case Manager Family And Social Services Administration
Report of Self-Employment Income Family And Social Services Administration
Report Requesting Extension of Temporary Commitment Family And Social Services Administration
Report Requesting Temporary Commitment of Voluntary Patient Family And Social Services Administration
Representative Payee Agreement for Supplemental Assistance for Personal Needs Family And Social Services Administration
Request for Administrative Hearing on Transfer Family And Social Services Administration
Request for Approval to Subcontract with a for Profit Agency Family And Social Services Administration
Request for Authorization for Audiology Services Family And Social Services Administration
Request for Authorization for Patient to Receive More Than Fourteen (14) Days of Unsupervised Medication Family And Social Services Administration
Request for Authorization for Transition Meeting / Transition Checklist Family And Social Services Administration
Request for Authorization / Meeting Minutes Family And Social Services Administration
Request for Case Closure Family And Social Services Administration
Request for Client Cap Increase - Indiana Access to Recovery Family And Social Services Administration
Request for Discharge of Voluntary Patient Family And Social Services Administration
Request for Information from Indiana Department of Revenue Family And Social Services Administration
Request for Medical Resource Information 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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