You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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AAA-1199A | SHIP/SMP Client Contact | 04/01/2023 |
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DDD-1742D | Metabolic Low Protein Foods Ordering Form Vendor - Ener-G Foods, Inc (English) | 04/01/2023 |
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UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
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CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 04/01/2023 |
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DDD-1742E | Metabolic Low Protein Foods Ordering Form Vendor - Cambrooke Foods (English) | 04/01/2023 |
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LCR-1051A | Permission for Transfer of Record | 04/01/2023 |
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DDD-2193A | Navigating the System Promotion Flyer (English) | 04/01/2023 |
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CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 04/01/2023 |
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LCR-1051A-S | Permiso Para Transferir el Archivo | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
|
J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
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J-020-SLP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (Spanish) | 08/01/2020 |
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J-930-A | Request for Effective Modification to Participate in a Program, Service, or Activity | 07/01/2020 |
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J-930-A-S | Solicitud de Adaptación Eficaz para Participar en un Programa, Servicio o Actividad | 07/01/2020 |
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RSA-1390A | Statement of Services Rendered | 07/01/2020 |
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GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
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GCI-1042A | Family Survey | 07/01/2020 |
|
CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
|
GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
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