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-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 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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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
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CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0098M | Record of Employment | 06/01/2021 |
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UIB-0098S | Training Certification and Eligibility Investigation Record | 06/01/2021 |
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UIB-0098R | Record of Employment | 06/01/2021 |
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CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
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AAA-1350B | Family Caregiver Support Program Evaluation | 05/01/2021 |
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DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
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AAA-1350C | Annual Follow Up | 05/01/2021 |
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CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
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