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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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 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 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
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CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
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J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
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CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
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GCI-1085A | Vision Screening Checklist | 07/01/2020 |
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GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
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SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
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GCI-1088A-S | Guía de Evaluación para los Niños y sus Familias | 06/01/2020 |
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CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
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GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
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