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Older Americans Act (OAA) Forms

Adobe Acrobat File Format -
Microsoft Word File Format -
Format Not Available at this time - NA

All the below listed forms are in Acrobat Reader Format. This format will enable the documents to be printed only. The forms would be for manual completion.

File Format		Form Name
	N/A	Abbreviated Uniform Assessment Instrument
	N/A	Aging Taxonomy - Activity Definitions, Codes, Funding Sources and Unit Definitions
	N/A	CareGiver Assessment Plan with Instructions (complete form)
	N/A	CareGiver Assessment Plan Page 1
	N/A	CareGiver Assessment Plan Page 2
		Customer Rights and Responsibilities - (SS-012)
		Legal Services Reporting Form (SS-028) - New changes Effective 10/11/2011
		Notice of Action - (KDOA 904)
	N/A	Plan of Care Only
	N/A	Standard Intake
	N/A	Uniform Assessment Instrument (complete form)
	N/A	Uniform Program Registration

Other Annual Forms

• OAA Service Provider Report Forms for Fiscal Year 2011
• Instructions in Acrobat Reader Format
• Forms in Excel Format