You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
DBS-1085A | AZ ABLE Booklet (English) | 06/01/2023 |
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
FAA-0126A | Nutrition Assistance Frequently Asked Questions | 06/01/2023 |
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
ESA-1380A | TANF Refugee Program | 06/01/2023 |
WIO-1075A | Transfer of Funds Request Form (English) | 06/01/2023 |
FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
DDD-2099A-S | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (Spanish) | 09/01/2021 |
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
AAA-1369A | Quarterly Report Packet | 08/01/2021 |
AAA-1344A-S | Posición de Servicio Directo | 08/01/2021 |
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