You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
CCA-0201A | Certification Statement for Providing Child Care Services | 12/01/2020 |
CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
CCA-1277A | Sample Child Care Provider Expulsion Prevention Policy (English) | 11/01/2020 |
CCA-1277A-S | Sample Child Care Provider Expulsion Prevention Policy (Spanish) | 11/01/2020 |
LCR-1063A | Developmental Home License Denial, Revocation or Suspension Hearing Request | 10/01/2020 |
LCR-1063A-S | Petición Audiencia Sobre Denegación, Revocación o Suspensión de Certificación de Hogar de o Comunitario | 10/01/2020 |
LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
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