{"id":508,"date":"2025-02-25T17:21:56","date_gmt":"2025-02-25T17:21:56","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dss\/pubs\/"},"modified":"2025-05-14T03:27:01","modified_gmt":"2025-05-14T08:27:01","slug":"pubs","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dss\/pubs\/","title":{"rendered":"pubs ~  DSS: Publications and Forms  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n  <br>\r\n  <div class=\"container\" id=\"main_header\">\r\n    <!-- BEGIN readspeaker div -->\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dss\/pubs.html\" title=\"Listen to this page using ReadSpeaker\">\r\n      <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n      <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n      <\/a>\r\n    <\/div>\r\n    <!-- END readspeaker div -->\r\n    <header class=\"pull-left\">\r\n      <h1>\r\n        <!--[type=EDIT name=\"Page Title\"]-->Publications &#038; Forms<!--[END]-->\r\n      <\/h1>\r\n    <\/header>\r\n  <\/div>\r\n  <br>\r\n  <div class=\"container\">\r\n    <div class=\"row\">\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n          <div class=\"panel sectionmenu_panel\">\r\n            <div class=\"panel-heading\">\r\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Social Services  Menu<\/strong><\/a><\/p>\r\n            <\/div>\r\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\r\n              <div class=\"panel-body\" id=\"clf_nav\">\r\n                <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\r\n                  <li>\r\n                    <a href=\"\/dss\/\">\r\n                      <h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                  <\/li>\r\n                  <li class=\"toplevel\">\r\n                    <a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\">\r\n                      <h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\r\n                      <li>\r\n                        <a href=\"\/dss\/about.html\">About DSS<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/sections.html\">Sections &#038; Programs<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/faq.html\">FAQs<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/contact.html\">Contact Information<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/ofclocations.html\">Office Locations<\/a>\r\n                      <\/li>\r\n                    <\/ul>\r\n                  <\/li>\r\n                  <li class=\"toplevel\">\r\n                    <a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\">\r\n                      <h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">\r\n                      <li>\r\n                        <a href=\"https:\/\/assist.dhss.delaware.gov\/\">ASSIST<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/cashast.html\">Cash Assistance<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/genast.html\">General Assistance<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/refast.html\">Refugee Cash Assistance<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/tanf.html\">Temporary Assistance (TANF)<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/foodstamps.html\">Food Supplement Program<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/childcr.html\">Child Care<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/fpl.html\">Income and Eligibility<\/a>\r\n                      <\/li>\r\n                    <\/ul>\r\n                  <\/li>\r\n                  <li class=\"toplevel\">\r\n                    <a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\">\r\n                      <h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\r\n                      <li>\r\n                        <a href=\"\/dss\/regs.html\">Regulations<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/pubs.html\">Publications &#038; Forms<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dss\/repstats.html\">Reports &#038; Statistics<\/a>\r\n                      <\/li>\r\n                    <\/ul>\r\n                  <\/li>\r\n                <\/ul>\r\n              <\/div>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n        <br>\r\n      <\/div>\r\n      <div class=\"col-md-9\" id=\"main_content\">\r\n        <!--[type=HTMLEDIT name=\"Content\"]-->\r\n        <p>\r\n           \r\n        <\/p>\r\n        <p>\r\n          <a href=\"https:\/\/assist.dhss.delaware.gov\/\">ASSIST &#8211; Application for Social Services and Internet Screening Tool<\/a><br>\r\n          This site will let you see if your household is potentially eligible for Delaware&#8217;s social service programs. You can then apply for\r\n          these services online. ASSIST helps you submit an application and gives you additional information to complete the process.\r\n        <\/p>\r\n        <!--<p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/omwbe.pdf\">Office of Minority and Women Business Enterprise Certification Application<\/a><br \/>\r\n          \r\n          \r\n          \r\n          The mission is to assist minority and\/or women business enterprises in competing for the provision of commodities, services, and\r\n          \r\n          \r\n          \r\n          construction to State departments, agencies, authorities, school districts, higher education institutions and all businesses.\r\n          \r\n          \r\n          \r\n          <\/p>-->\r\n        <p>\r\n          <a href=\"redactedfairhearings.html\">Fair Hearing Decisions<\/a><br>\r\n          All individuals are given an opportunity for an impartial, objective review of actions taken in programs administered by the Division.\r\n          Here you will find the results of these reviews.\r\n        <\/p>\r\n        <h2>\r\n          Applications for Assistance\r\n        <\/h2>\r\n        <ul>\r\n          <li>\r\n            <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/Form100_Application_42016ENGLISH.pdf\">Application for Food Benefits, Cash Assistance, Medicaid, and Child Care Assistance<\/a>&#8211; <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/Form100_Application_42016SPANISH.pdf\">Spanish\r\n            Version<\/a>\r\n          <\/li>\r\n          <li>Healthy Children Program (Medicaid)\u2009\r\n          <\/li>\r\n          <li>\r\n            <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/dpapapplication.pdf\"> Delaware Prescription Assistance Program (DPAP) Application<\/a>\r\n          <\/li>\r\n        <\/ul>\r\n        <p>\r\n          Food Assistance, Cash Assistance and Medicaid applications can be submitted to any local <a href=\"ofclocations.html\">Division of Social\r\n          Services office<\/a> either in person, by a designated third party, by fax or other electronic transmission or by mail.\r\n        <\/p>\r\n        <p>\r\n          The Healthy Children Program (Medicaid) application can be mailed to the address found on our <a href=\"contact.html\">Contacts<\/a> page.\r\n        <\/p>\r\n        <p>\r\n          The Delaware Prescription Assistance Program (DPAP) began accepting applications on October 5th, 2018. The program will provide benefits for approved members starting January 1, 2019.\r\n        <\/p>\r\n        <p>&#8211;<a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/form100_2017_08.pdf\">Rights and Responsibilities in English<\/a><\/p>\r\n        <p>&#8211;<a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/form100Spanish.pdf\">derechos y responsabilidades en espanol<\/a><\/p>\r\n        <p>&#8211;<a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/fns_nondisc_stmt.pdf\">Food Benefit Non-Discrimination Statement English<\/a><\/p>\r\n        <p>&#8211;<a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/fns_nondisc_stmt_sp.pdf\">declaracion de no discriminacion de beneficios alimentarios en espanol<\/a><\/p>\r\n        <p>\r\n        <\/p>\r\n        <p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/OCT2022COLA.pdf\">2022-2023 Cost of Living Adjustments for Food Benefits, Cash Assistance and Child Care<\/a>\r\n        <\/p>\r\n        <p><strong>Division of Social Services: Privacy Notice for Personally Identifiable Information<\/strong> <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/DSS_PrivacyNotice5.29.20.pdf\"><b>English<\/b>   <\/a> <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/SPANISH_DSS_PrivacyNotice5.29.20.pdf\"><b>Spanish<\/b><\/a><\/p>\r\n        <h3>\r\n          <strong>Plans and Publications<\/strong>\r\n        <\/h3>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/2025\/05\/SNAP_Employment_and_TrainingStatePlan_FFY2025.pdf\">SNAP Employment and Training State Plan FFY 2025<\/a><\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/2025\/05\/SNAP_Employment_and_TrainingOperatingBudget_FFY2025.xlsx\">SNAP Employment and Training Operating Budget FFY 2025<\/a><\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/CCDF_StatePlan2022-2024Submitted6-30-21.pdf\">CCDF Plan for Delaware FFY 2022-2024<\/a> &#8211; <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/1CCDF_Plan_Preprint_FFY2022-2024_SPANISH.pdf\">Spanish<\/a>\r\n        <\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/CCDF_PublicHearingAnnouncement_5.3.21.pdf\">CCDF Public Hearing Announcement May 2021<\/a>\r\n        <\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/CCDF_StatePlan2022-2024Synopsis.pdf\">CCDF State Plan FFY 2022-2024 Synopsis<\/a>\r\n        <\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/PublicHearingCommentSheet5321.pdf\">CCDF Public Hearing Comment Sheet<\/a><\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/2021DECostofCare_PreliminaryReportTables.pdf\">Delaware&#8217;s 2021 Cost of Care Study: Preliminary Report<\/a>\r\n        <\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/PurchaseofCareProviderHandbook_FINAL1_25_2023.pdf\">Purchase of Care Provider Handbook<\/a><\/p>\r\n        <p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/DeCCDisasterPlanFFY2018-3-2021.pdf\">Delaware Child Care Disaster Plan FFY 2018<\/a>\u2009\r\n        <\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/DEstate_plan_for_TANF_102023.pdf\">Delaware TANF State Plan 2023-2026 (PUBLIC NOTICE)<\/a><\/p>\r\n        <p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/TANFStatePlan2020-2022.pdf\">Delaware TANF State Plan 2020-2022<\/a>\r\n        <\/p>\r\n        <p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/TANFStatePlan2017-2020Amendment.pdf\">Delaware TANF State Plan 2017-2020 Amendment<\/a>\r\n        <\/p>\r\n        <p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/detanfstateplan2017.pdf\">Delaware TANF State Plan 2017-2020<\/a>\u2009\r\n        <\/p>\r\n        <p><a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/CC_StatePlan_2019-2021.pdf\">Child Care Development Fund for 2019-2021<\/a><\/p>\r\n        <p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/ccdfplan_ffy2016_2018.pdf\">Child Care Development Fund Plan for 2016 &#8211; 2018<\/a>\u2009\r\n        <\/p>\r\n        <p>\r\n          <a href=\"\/wp-content\/uploads\/sites\/11\/dss\/pdf\/ccdfresponsetopubliccomments.pdf\">CCDF Response to Public Comments<\/a>\u2009\r\n        <\/p>\r\n        <p>\r\n          <a href=\"assist_forms.html\">ASSIST forms<\/a>\u2009\r\n        <\/p>\r\n        <p>\r\n          <br>\r\n        <\/p>\r\n        <p class=\"smalltext\"><a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\"><img loading=\"lazy\" decoding=\"async\" alt=\"Download Adobe Acrobat Reader\" height=\"21\" src=\"\/wp-content\/uploads\/dhss\/img\/getacro60.gif\" width=\"60\"><\/a> Please note: Some of the files available on this page are in Adobe PDF format which requires Adobe Acrobat Reader.  A free copy of Adobe Acrobat Reader can be downloaded directly from <a href=\"http:\/\/www.adobe.com\/products\/acrobat\/readstep2.html\">Adobe <\/a>. If you are using an assistive technology unable to read Adobe PDF, please either view the corresponding text only version (if available) or visit Adobe&#8217;s <a href=\"http:\/\/access.adobe.com\">Accessibility Tools page<\/a>.<\/p>\r\n        <p>\r\n          <!--[END]-->\r\n        <\/p>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n  <!-- \/container -->\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Publications &#038; Forms Social Services Menu Home About About DSS Sections &#038; Programs FAQs Contact Information Office Locations Services ASSIST Cash Assistance General Assistance Refugee Cash Assistance Temporary Assistance (TANF) Food Supplement Program Child Care Income and Eligibility Information Regulations Publications &#038; Forms Reports &#038; Statistics ASSIST &#8211; Application for Social Services and Internet [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-508","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/pages\/508","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/comments?post=508"}],"version-history":[{"count":2,"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/pages\/508\/revisions"}],"predecessor-version":[{"id":642,"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/pages\/508\/revisions\/642"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/media?parent=508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}