Office of the Deputy Secretary for Administration

Official Website: http://dhs.pa.gov

Forms & Documents

Browse all Office of the Deputy Secretary for Administration government forms

781 - 800 of 926 forms

Form Title Topics
Quantity Limits/Daily Dose Limits Form
QUICK TIPS #222 EBT Cards
Radicava Form
RECAPS
Reducing the Pennsylvania Incompetency to Stand Trial Restoration Waitlist: More than Just Beds
Reducing the Pennsylvania Incompetency to Stand Trial Restoration Waitlist: More than Just Beds
Region Map
REGULATED PROVIDER
Regulated Provider Agreement
REGULATED PROVIDER AGREEMENT APPENDIX A - RULES FOR PARTICIPATION IN THE SUBSIDIZED CHILD CARE PROGRAM
Regulated Provider Agreement APPENDIX B: PROVIDER’S CLOSED DAYS
Regulated Provider Agreement APPENDIX C-1: CCIS SUBSIDIZED CHILD CARE PROVIDER REPORTED RATES, FY 2016-2017 (Regulated Providers Only)
Regulated Provider Agreement APPENDIX D: NONDISCRIMINATION CLAUSE
Regulated Provider Agreement APPENDIX E: MULTIPLE LOCATIONS (REGULATED PROVIDERS ONLY
Regulated Provider Agreement APPENDIX F PAYMENT RATE CALCULATIONS
Regulated Provider Agreement APPENDIX G: PROVIDER SERVICE SCHEDULE
RELATIVE / NEIGHBOR PROVIDER
RELATIVE PROVIDER AGREEMENT
RELATIVE PROVIDER AGREEMENT APPENDIX A – RULES FOR PAYMENT IN THE SUBSIDIZED CHILD CARE PROGRAM
RELATIVE PROVIDER AGREEMENT APPENDIX C - PARTICIPATION STANDARDS FOR RELATIVE PROVIDERS

Contact Information & Office Locations

1 contact point

Address:
234 Health and Welfare Building
Harrisburg, PA 17105-2675

Phone numbers:
  • (717) 787-3422
Fax numbers:
  • (717) 772-2490

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