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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DDD-1713A | DDD Customer Service Center (English) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
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DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
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CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
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CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
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LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
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AAA-1369A | Quarterly Report Packet | 08/01/2021 |
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AAA-1344A | Direct Service Position | 08/01/2021 |
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AAA-1344A-S | Posición de Servicio Directo | 08/01/2021 |
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