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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Number Document Name Effective Date
FAA-1494A-S Remoción de un(a) Representante Autorizado(a) 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) 05/01/2023
GCI-1033A Transition Conference Summary 05/01/2023
CCA-1163A-S Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) 05/01/2023
GCI-1033A-S Resumen de la Conferencia de Transición 05/01/2023
FAA-0065A-S Verification of Living Arrangements/Residential Address (Spanish) 05/01/2023
FAA-0257A Individual Development Account Agreement (English) 05/01/2023
Statistical Bulletin March 2023 Statistical Bulletin March 2023 04/21/2023
LIHEAP Plan FY23 Low-Income Home Energy Assistance Program (LIHEAP) Plan 04/19/2023

Number Document Name Effective Date
CCA-1260A-S Solicitud de Proveedor Suplente 07/01/2019
RSA-1312A Authorization for Disclosure of Health Information to RSA 07/01/2019
CCA-1261A-S Solicitud de Proveedor Certificado de Cuidado de Niños Familiar 07/01/2019
RSA-1312A-S Autorización Para Divulgación De Información De Salud a RSA 07/01/2019
CCA-1260A Back Up Provider Application 07/01/2019
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
UB-099-Y Certification of Understanding (English / Spanish) 07/01/2019
RSA-1367A Appeal Rights 06/01/2019
RSA-1367A-LP Appeal Rights (Large Print) 06/01/2019
RSA-1367A-S Derechos de Apelación 06/01/2019

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