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-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1725A-S | Verificación de Otros Ingresos | 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-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (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-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1988A | PRC Disposition (English) | 03/01/2022 |
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DDD-1988A-S | PRC Disposition (Spanish) | 03/01/2022 |
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HRP-1003A | Commodity Disposal Report (CDR) | 02/01/2022 |
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HRP-1007A | Commodity Transfer Report | 02/01/2022 |
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HRP-1014A | USDA Civil Rights Complaint and Grievance | 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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HRP-1005B | TEFAP Monthly Inventory and Participation Report (MIPR) Instructions | 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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