You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
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