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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AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
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HRP-1014A | USDA Civil Rights Complaint and Grievance | 02/01/2022 |
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HRP-1005B | TEFAP Monthly Inventory and Participation Report (MIPR) Instructions | 02/01/2022 |
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HRP-1014A-S | Denuncia y Queja de los Derechos Civiles de USDA | 02/01/2022 |
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AAA-1383A | Program Impact Report | 02/01/2022 |
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DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
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UIA-1043A | Registration for State Information Data Exchange System (SIDES) E-Response | 01/01/2022 |
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DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
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DDD-1986A | PRC Contact Information (English) | 01/01/2022 |
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DDD-1986A-S | PRC Contact Information (Spanish) | 01/01/2022 |
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DDD-1857A | Residential Services Option Comparison | 12/01/2021 |
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