You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
SPP-APR-C FFY2021 | State Performance Plan / Annual Performance Report: Part C FFY 2021 | 02/03/2023 |
DDD-1883A | What is PASRR? | 02/01/2023 |
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
WIO-1084A | WIOA Title I-B Adult and Dislocated Worker Incentive Approval Request Form (English) | 12/01/2018 |
ES-935 | Claimant’s Affidavit of Federal Civilian Service, Wages, and Reason for Separation - UCFE | 12/01/2018 |
GCI-1021G-J | Individualized Family Service Plan (Addendum) - Packet | 12/01/2018 |
GCI-1021G-J-S | Plan Individualizado de Servicio Familiar (Adenda) - Paquete | 12/01/2018 |
SNA-1022A | Transportation-Related Expense | 11/01/2018 |
SNA-1022A-S | Exención De Gastos De Transporte | 11/01/2018 |
SNA-1027A | Work Focus | 11/01/2018 |
SNA-1027A-S | Enfoque de Trabajo | 11/01/2018 |
SNA-1012A | SNA E&T Referral to Provider | 11/01/2018 |
SNA-1045A-S | Prueba Aceptable de Causa Justificada | 11/01/2018 |
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