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-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
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DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
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TAA-1065A | Notice of Potential Trade Adjustment Assistance Eligibility | 04/01/2021 |
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DDD-1436A | Behavioral Health Professional Consultation Summary (English) | 04/01/2021 |
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UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
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UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
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CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
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CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
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CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
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CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
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DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
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