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-1004A-LP | Designation of EBT Alternate Card Holder - Large Print (English) | 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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CCA-1313A-S | Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo | 04/01/2023 |
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DDD-1693A | Prevention and Support New Instructor Clinic Packet (English) | 04/01/2023 |
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AAA-1199A | SHIP/SMP Client Contact | 04/01/2023 |
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DDD-1659A | Agency With Choice: Partnership Agreement (English) | 04/01/2023 |
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DDD-1742A | Metabolic Low Protein Foods Ordering Form Vendor- Dietary Specialties Groceries (English) | 04/01/2023 |
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UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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DDD-1659A-S | Agency With Choice: Partnership Agreement (Spanish) | 04/01/2023 |
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DDD-1742B | Metabolic Low Protein Foods Ordering Form Vendor - Nutricia North America (English) | 04/01/2023 |
Download | Number | Name | Effective Date |
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|
J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
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J-020-SLP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (Spanish) | 08/01/2020 |
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RSA-1390A | Statement of Services Rendered | 07/01/2020 |
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CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
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GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
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J-930-A | Request for Effective Modification to Participate in a Program, Service, or Activity | 07/01/2020 |
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GCI-1042A | Family Survey | 07/01/2020 |
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J-930-A-S | Solicitud de Adaptación Eficaz para Participar en un Programa, Servicio o Actividad | 07/01/2020 |
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GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
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CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
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