You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
DDD-1436A | Behavioral Health Professional Consultation Summary (English) | 04/01/2021 |
DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement -Large Print (Spanish) | 03/01/2021 |
DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
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