You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
FAA-1546A-S | Sponsor Deeming Information (Spanish) | 05/01/2023 |
FAA-1249A | Verification of Disability | 05/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
FAA-1725A | Verification of Other Income | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
UB-217C | Wage Protest (English) | 01/01/2020 |
FAA-0075A | Verification of School Attendance (English) | 12/01/2019 |
FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
GCI-1113A | Child Transfer Form | 10/01/2019 |
LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
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