You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
|
DCAD-GRIEVANCES | Grievances Policy | 05/05/2023 |
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30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
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CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
|
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
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CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
|
ESA-1303A | Job Order | 04/01/2022 |
|
GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
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