You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
|
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
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FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
|
GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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ESA-1303A | Job Order | 04/01/2022 |
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UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
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DDD-1988A | PRC Disposition (English) | 03/01/2022 |
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DDD-1988A-S | PRC Disposition (Spanish) | 03/01/2022 |
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