The Indiana Archives and Records Administration (IARA) assists State and local governments in the cost-effective, efficient and secure management of governmental records, by providing services throughout the life cycle of records, including creation, use, storage, and disposition.
Forms & Documents
Browse all Family and Social Services Administration government forms
141 - 160 of 300 forms
| Form Title | Topics |
|---|---|
| Medicaid Hospice Discharge | Family And Social Services Administration |
| Medicaid Hospice Election | Family And Social Services Administration |
| Medicaid Hospice Plan of Care | Family And Social Services Administration |
| Medicaid Hospice Plan of Care for Curative Care; Members 20 Years and Younger | Family And Social Services Administration |
| Medicaid Hospice Revocation | Family And Social Services Administration |
| Medicaid Physician Certification | Family And Social Services Administration |
| Medicaid Recipients Claim To Defray Burial Costs | Family And Social Services Administration |
| Medicaid Transportation Provider Surety Bond | Family And Social Services Administration |
| Medical Assignment Good Cause Notice | Family And Social Services Administration |
| Medical Insurance Supplement | Family And Social Services Administration |
| Medication Assisted Treatment (MAT) Client Contact Log - Indiana Access to Recovery | Family And Social Services Administration |
| Milestone Payment Verification and Invoice | Family And Social Services Administration |
| Monthly Report of Licensed Child Care Centers and Homes | Family And Social Services Administration |
| Monthly Report of Vending Income | Family And Social Services Administration |
| Monthly Review of Vending Facility | Family And Social Services Administration |
| MRC Release of Information for DDRS | Family And Social Services Administration |
| Non-Medical Transportation Service Provide Certification | Family And Social Services Administration |
| Notice of Action | Family And Social Services Administration |
| Notice of Filing Petition to Appoint Health Care Representative | Family And Social Services Administration |
| Notice of Job Offer | Family And Social Services Administration |
Contact Information & Office Locations
1 contact point
IARA Central Office (Records and Forms Management)
Address:
IARA Central Office (Records and Forms Management):
402 W. Washington Street
Room W472
Indianapolis, IN 46204-2744
- (317) 232-3380 (IARA Central Office (Records and Forms Management))
- (317) 591-5222 (Indiana State Archives)
- (317) 233-3746 (State Imaging and Microfilm Lab)
- (317) 591-5326 (Records Center)
- (317) 233-1713 (IARA Central Office (Records and Forms Management))
- (317) 591-5324 (Indiana State Archives)
- (317) 591-5328 (Records Center)