Control over Health Care Decisions (Living Wills and Durable Powers of Attorney)
Health Care Power of Attorney Form
(Separate Website)
Standard form for a health care power of attorney. PDF document (may load slowly).
By: South Carolina Bar Association
Health Care Power of Attorney Form
(Separate Website)
PDF document (may load slowly).
By: Upper Savannah Council of Governments - Aging Division
Health Care Power of Attorney Form
(Separate Website)
Information about and form for Health Care Power of Attorney. These forms are statutory and may not meet your particular needs. Before you complete and sign these forms, you should consult with an attorney to determine if some other document would better meet your needs.
By: SC Department of Health and Human Services
Living Will Form
(Separate Website)
PDF document (may load slowly).
By: Upper Savannah Council of Governments - Aging Division
Living Will Form
(Separate Website)
Form for Declaration of Desire for a Natural Death. These forms are statutory and may not meet your particular needs. Before you complete and sign these forms, you should consult with an attorney to determine if some other document would better meet your needs.
By: SC Department of Health and Human Services
Living Will Form
(Separate Website)
Standard form for a living will. PDF document (may load slowly).
By: South Carolina Bar Association
Form 1204 - SCCAP Application Cover Letter
(Separate Website)
Part 1 of Application for food stamps. PDF document (may load slowly).
By: SC Department of Social Services
Form 1205 - Declaration and Consent to Partiipate in SCCAP
(Separate Website)
Part 2 of Application for food stamps. PDF document (may load slowly).
By: SC Department of Social Services
Form 1230 A - Father Involvement and Marriage Questionnaire
(Separate Website)
PDF document (may load slowly).
By: SC Department of Social Services
Form 1299 - SCCAP Excess Expense Letter
(Separate Website)
Food stamps letter. PDF document (may load slowly).
By: SC Department of Social Services
Form 16168 - Commodity Supplemental Food Program Application
(Separate Website)
PDF document (may load slowly).
By: SC Department of Social Services
Form 16169 - Commodity Supplemental Food Program Participant Agreement
(Separate Website)
PDF document (may load slowly).
By: SC Department of Social Services
Form 16176 - Application for Food Stamp Program - Simplified Application for the Elderly
(Separate Website)
PDF document (may load slowly).
By: SC Department of Social Services
Read this in:
Spanish / Español
Form 16177 - Food Stamps Application Project Letter Simplified for the Elderly (ESAP)
(Separate Website)
PDF document (may load slowly).
By: SC Department of Social Services
Read this in:
Spanish / Español
Form 2633 - Request for Fair Hearing
(Separate Website)
PDF document (may load slowly).
By: SC Department of Social Services
Read this in:
Spanish / Español
Long Term Care Medicaid Application
(Separate Website)
Medicaid Application for Long Term Care Services.
By: SC Department of Health and Human Services
Medicaid - Application for Nursing Home, Waiver Services, General Hospital
(Separate Website)
PDF document (may load slowly).
By: SC Department of Health and Human Services
Read this in:
Spanish / Español
Medicaid - Application for Partners for Health
(Separate Website)
PDF document (may load slowly).
By: SC Department of Health and Human Services
Read this in:
Spanish / Español
Medicaid - Application for Partners for Healthy Children
(Separate Website)
PDF document (may load slowly).
By: SC Department of Health and Human Services
Medicaid - Application for Specified Low Income Medicare Beneficiaries (SLMB)
(Separate Website)
PDF document (may load slowly).
By: SC Department of Health and Human Services
Adobe Acrobat Reader required. (If you are using a screen reader that does not support PDF format, copy the PDF link, and use the Access Adobe online form to convert this file to HMTL text.)