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

101 - 120 of 300 forms

Form Title Topics
First Steps - Cost Participation Financial Deduction Worksheet Family And Social Services Administration
First Steps Documentation of Team Discussion Family And Social Services Administration
First Steps Early Intervention System Documentation of Receipt of Rights / Consent to Proceed / Permission to Assess Family And Social Services Administration
First Steps Enrollment Family And Social Services Administration
First Steps Medical Insurance Consent Family And Social Services Administration
First Steps Part C Eligibility Determination Statement Family And Social Services Administration
First Steps Thirty (30) Month Notice to Local Educational Agency Family And Social Services Administration
First Steps Transition Meeting Minutes Family And Social Services Administration
Formal Grievance or Complaint Family And Social Services Administration
FSSA Funded Job Skills Training (JST) Procedures and Checklist Family And Social Services Administration
FSSA Job Skills Training (JST) Claim Voucher Family And Social Services Administration
FSSA Legislative Inquiry: Authorization to Act on Constituent's Behalf Family And Social Services Administration
General Information - Managed Care Provider Applicant Family And Social Services Administration
General Reciprocal Consent to Release and Share Information Family And Social Services Administration
Habilitation Service Provider Application Family And Social Services Administration
Healthy Indiana Plan Power Account Payment Status Family And Social Services Administration
History of Immunizations Family And Social Services Administration
Hospice Authorization Notice for Dually-Eligible Medicare / Medicaid Nursing Facility Residents Family And Social Services Administration
Hospice Provider Change Request Between Indiana Hospice Providers Family And Social Services Administration
Incident Report 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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