Mission is to help Iowans achieve healthy, safe, stable, and self-sufficient lives through the programs and services we provide.
Forms & Documents
Browse all Human Services government forms
121 - 128 of 128 forms
| Form Title | Topics |
|---|---|
| RSP Parent Cost Report | Human Services |
| Semi-Monthly Timesheet | Human Services |
| TCM Cover Form | Human Services |
| Verification of Ambulance Compliance Form | Human Services |
| Verification of Emergency Health Care Services | Human Services |
| Voluntary Contribution Agreement | Human Services |
| Wraparound Payment Request Access for the Iowa Medicaid Portal Access (IMPA) System | Human Services |
| Wraparound Supporting Claims Detail | Human Services |
Contact Information & Office Locations
All 20 contact points
Adel Office
Address:
25747 N Avenue
Adel, IA 50003
- (800) 397-3232
Buchanan County Office
Address:
1415 1st St W
#0753
Independence, IA 50644
- (319) 334-6091
Buena Vista County Office
Address:
311 E 5th St
Storm Lake, IA 50588
- (712) 749-2536
Clay County Office
Address:
1900 Grand Ave
Suite E-8
Spencer, IA 51301
- (712) 262-3586
Clinton County Office
Address:
121 6th Ave S
Ste 200
Clinton, IA 52732
- (563) 242-0573
Des Moines County Office
Address:
560 Division St
# 200
Burlington, IA 52601
- (319) 754-4622
Des Moines Office
Address:
1305 E Walnut St.
Des Moines, IA 50319
- (800) 972-2017
Dubuque County Office
Address:
799 Main St
Dubuque, IA 52001
- (563) 557-8251
Henry County Office
Address:
205 W Madison St
Mt Pleasant, IA 52641
- (319) 986-5157
Johnson County Office
Address:
855 S Dubuque St
Iowa City, IA 52240
- (319) 356-6050
Lee County Office
Address:
307 Bank St
Keokuk, IA 52632
- (319) 524-1052
Linn County Office
Address:
1240 26th Ave Ct SW
Cedar Rapids, IA 52404
- (319) 892-6700
Mahaska County Office
Address:
410 S 11th St
Oskaloosa, IA 52577
- (641) 673-3496
Muscatine County Office
Address:
315 Iowa Ave
Muscatine, IA 52761
- (563) 263-9302
Plymouth County Office
Address:
19 2nd Ave NW
Le Mars, IA 51031
- (712) 546-8877
Polk County Office
Address:
2309 Euclid Ave
Des Moines, IA 50314
- (515) 725-2600
Story County Office
Address:
126 S Kellogg Ave
#101
Ames, IA 50010
- (515) 292-2035
Wapello County Office
Address:
120 E Main St
Ottumwa, IA 52501
- (641) 682-8793
Waterloo Office
Address:
4300, 1407 Independence Ave # 2
Waterloo, IA 50703
- (319) 291-2441
Webster County Office
Address:
330 1st Ave N
Fort Dodge, IA 50501
- (515) 955-6353