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-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
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UIT-1271A | A Guide to Unemployment Insurance Tax and Benefits (English) | 12/01/2022 |
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DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
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APS 2022 Year in Review | Adult Protective Services 2022 Year in Review | 11/17/2022 |
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Statistical Bulletin October 2022 | Statistical Bulletin October 2022 | 11/16/2022 |
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ESA-1353A | Federal Bonding Program | 11/15/2022 |
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Statistical Bulletin August 2022 | Statistical Bulletin August 2022 | 11/07/2022 |
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Statistical Bulletin September 2022 | Statistical Bulletin September 2022 | 11/07/2022 |
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30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
Download | Number | Name | Effective Date |
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UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
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UB-092-A-S | Confidential Financial Statement (Spanish) | 03/01/2018 |
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UC-514 | Report of Changes Form (English) | 03/01/2018 |
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DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
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UIA-1004A | Bulk Filer Application | 03/01/2018 |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
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DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
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DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
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DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
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UB-130A | Work History (English) | 03/01/2018 |
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