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-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
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FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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FAA-1788A | Proof of Eligibility Card | 06/01/2023 |
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FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
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FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
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FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 06/01/2023 |
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DDD-1713A | DDD Customer Service Center (English) | 06/01/2023 |
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FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
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GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
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CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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