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-0060A | Authority to Release Student Information | 05/01/2023 |
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FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
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CSE-1061A-S | Establecer la Paternidad | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 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-0065A | Verification of Living Arrangements/Residential Address (English) | 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-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
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CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
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CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
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AAA-1344A | Direct Service Position | 08/01/2021 |
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LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
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AAA-1369A | Quarterly Report Packet | 08/01/2021 |
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AAA-1344A-S | Posición de Servicio Directo | 08/01/2021 |
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