Sd Dss Voucher Program | Individual Provider Enrollment Form
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SD DSS Voucher Program | Individual Provider Enrollment Form
Updated individual provider form
Page 1
Personal Information
Description:Enroll as an Individual Provider for SD DSS Voucher Program. Fill out this updated form to become an individual provider and offer your services to eligible participants.
Are you interested in becoming an individual provider for the South Dakota Department of Social Services (SD DSS) Voucher Program? This program provides financial assistance to eligible participants who require care services. As an individual provider, you can offer your services to these participants and help them improve their quality of life. To enroll, you need to fill out this updated Individual Provider Enrollment Form. The form requires you to provide your personal information, contact details, and information about the services you offer. You will also need to provide your signature and date the form. Once you submit the form, the SD DSS will review your application and contact you if you are approved. Enroll now and become a part of the SD DSS Voucher Program to make a difference in the lives of those who need it the most.
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