Forms, Brochures, and Guides

Important Notice for All Forms 

Please do not use a highlighter on records. When records are uploaded, the highlighted information is actually grayed out which makes it more difficult to read. The Division thoroughly reads all records but if you feel you must highlight something, please just put an asterisk (*) near the relevant information.

DDD Eligibility Forms

• Visit the DDD Eligibility webpage 

Medicaid Waiver Application

Have Medicaid or SSI

• Application Coversheet (PDF)
• Blank Recertification (PDF)
• CP-1 Eligibility Assessment Level of Care (PDF)
• CP-12 Form (Word)
• Release of Information - Medical (DHS-25-M) (PDF)
• Release of Information (DHS-25) (PDF)

Do not already have Medicaid

• Application Coversheet (PDF)
• CP-1 Eligibility Assessment Level of Care (PDF)
• CP-12 Form (Word)
• DHS-2 Application (PDF)
• Release of Information - Medical (DHS-25-M) (PDF)
• Release of Information (DHS-25) (PDF)

• DD ISP Submission Requirements (PDF)
• ISP Addendum/Amendment Form (PDF): Please submit this form with any changes to a current ISP or PO.
• Emergency Data Form (PDF): Be sure to send any personal information through an encrypted or secure email
• NCAPPS Promising Practices for Person-Centered Plans (PDF): read this booklet to learn more about what a good person-centered plan looks like

Employment Forms

• Employment and Earnings Reporting Form (web form)
• Targeted Employment Funding Request Form (web form)
• Targeted Employment Plan Form (PDF)

Variance Forms

• Variance Submission and Review instructions (PDF)
• Variance for Integrated Day Services Only (PDF)
• Variance to Work in a Segregated Employment Setting (PDF)

DDD Overview Brochure

Review the DDD Overview Brochure to learn more about the Division and adult services and supports:

• DDD Overview Brochure (English; PDF)
• DDD Overview Brochure (Spanish; PDF)

Applying for DDD Services Brochure

Learn more about applying for DD services by exploring this brochure: 

• DDD Eligibility Brochure (English; PDF)
• DDD Eligibility Brochure (Spanish; PDF)

Youth in Transition Brochure

Learn more about Youth in Transition (YIT) by exploring this brochure: 

• DDD YIT Brochure (English; PDF)
• DDD YIT Brochure (Spanish; PDF)

Employer Incentives Brochure

• DD Employer Incentives Brochure (English; PDF)

Integrated Community Services Brochure

All Division services are integrated community services. This means they help people to join in their community. Learn more by exploring this brochure:

• Integrated Community Services Brochure (English; PDF)

Individual Budgets 

People getting services from the Division will create their own individual budget. Review these guidebooks to learn what an individual budget is and how to create one: 

• Individual Budget Guidebook (PDF)
• Individual Budget Easy Read Guidebook (PDF)

Guide to Employment Add-On Budget Requests

This guidebook shares information about how add-on budget requests are done.

• Guide to Employment Add-On Budget Requests (PDF)

Employment Add-On Budget

This one-page flyer shares details on Supported Employment services that can be requested through an add-on budget request. 

• Employment Add-On Budget (PDF)

Transportation Options 

People getting services from the Division get to decide how many transportation trips they want per year. Learn more by exploring this flyer: 

• Transportation Options Flyer (English; PDF)

Hiring People with Intellectual and Developmental Disabilities

• Everyone Benefits from Hiring People with Intellectual and Developmental Disabilities (English; PDF)

• Other Ways to Use Day Funds
  • InfoBrief: Use of Day Funds (PDF)
  • InfoBrief: Utilizar Fondos (en espanol; PDF)
• InfoBrief: Adaptive Communication (PDF)
• InfoBrief Employment (PDF)
• InfoBrief: Retirement and Variances (PDF)
• InfoBrief Goods and Services (PDF)
• InfoBrief New Customized Employment Project 10-22-20 (PDF)