You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
ESA-1306A | Employment Service Registration | 07/01/2023 |
FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
DDD-2149A | Authorization to Release Records | 08/01/2022 |
FAA-1828A | Provider Determination (English) | 08/01/2022 |
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
HRP-1052A | CSFP Notice of Action | 08/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1700A-S | Keep Your Baby Healthy (Spanish) | 08/14/2017 |
DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
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