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-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
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LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
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FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
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LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
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FAA-1724A | Application Signature Pages | 07/01/2023 |
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FAA-1724A-S | Páginas de Firma de la Solicitud | 07/01/2023 |
Download | Number | Name | Effective Date |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
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RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
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GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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DDD-0517A-S | Working With You (Spanish) | 06/01/2019 |
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GCI-1081A | Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) | 06/01/2019 |
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DDD-0517A | Working With You (English) | 06/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
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FAA-1375A | Nutrition Assistance Posters | 04/01/2019 |
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AAA-1316A | SNAP-O Partnership | 04/01/2019 |
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UIT-1191A | Bulk UI Tax Rate Request Process and Information | 04/01/2019 |
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