• DHS-1341 Adoption Assistance and Medical Subsidy Application
Rev. 10/09

• DHS-1344 Adoption Subsidy Payment Request
Rev. 06/09

• DHS-4081 Adoption Assistance Intent Statement
Rev. 5/09

• DHS-4813 Adoption Subsidy Program Other Payment Resources
Rev. 07/09

• DHS-4814 Nonrecurring Adoption Expenses Application/Agreement for a Child Without Support Subsidy
Rev. 07/09

• DHS-4815 Parent Claim for Reimbursement of Nonrecurring Adoption Expenses
Rev. 07/09

• DHS-4816 Third Party Claim for Reimbursement of Nonrecurring Adoption Expenses
Rev. 07/09

• DHS-4817 Adoption Subsidy Change Request (Child Not Yet Adopted)
Rev. 10/09