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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DDD-1659A-S | Agency With Choice: Partnership Agreement (Spanish) | 04/01/2023 |
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DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
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SNA-1075A | Need Help Finding A Job | 04/01/2023 |
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CCA-1313A-S | Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo | 04/01/2023 |
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DDD-1742B | Metabolic Low Protein Foods Ordering Form Vendor - Nutricia North America (English) | 04/01/2023 |
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CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 04/01/2023 |
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UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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DDD-1742C | Metabolic Low Protein Foods Ordering Form Vendor - PKU Perspectives (English) | 04/01/2023 |
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CCA-1313A | Child Care Assistance for Full-Time Students | 04/01/2023 |
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UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1396A | Secure Email Waiver | 02/01/2021 |
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CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
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CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
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LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
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LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
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DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
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DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
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DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
|
CCA-0201A | Certification Statement for Providing Child Care Services | 12/01/2020 |
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