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*04AF018E-001* OKLAHOMA DEPARTMENT OF HUMAN SERVICES Child Needs Information List A. Will you accept a child whose parent(s) or caregiver(s): ? ? ? ? ? ? ? ? ? ? ? ? ? abused a child has a criminal.

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Oklahoma Human Services (OKDHS) local grievance coordinators (LGC)s order Form 15GR001P, Grievance Form, from the OKDHS warehouse. Private provider and facility LGCs obtain copies of Form 15GR001P from the Office of Client Advocacy (OCA) by calling 1-405-522-2720 or 1-800-522-8014.

Upload a Document Oklahoma Department of Human Services Mailing address: OKDHSLive! PO Box 25352 Oklahoma City, OK 73125 (405)522-505010/14/2023Non-Discrimination | Accessibility | Privacy2:03 AM

Formal grievances are filed with the OKDHS grievance manager located in the Sequoyah Building in the Employee Relations Section of the Human Re- sources Management Division. The mailing address is OKDHS Grievance Manager, HRMD, P.O. Box 25352, Oklahoma City, OK 73125. The phone number is (405) 522-2089.

OKDHSLive! To replace your SNAP EBT Card, call 1-888-328-6551. To replace your Oklahoma MasterCard Debit Card, call 1-888-401-9843. To provide verification of items such as pay and work schedule, please log in to OKDHSLive and select “upload document” on the homepage.

File a consumer complaint with the Office of the Attorney General by downloading and completing the form below. Then, save the completed form as a PDF and email it to ConsumerProtection@oag.ok.gov with "Complaint" in the subject line. You may also attach any relevant documentation to your email.

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