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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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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CSE-1225A | Caretakers Raising Children | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
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30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
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2022 Homeless Lottery Funds Report | 2022 Homeless Lottery Funds Report | 01/30/2023 |
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Annual Report on Homelessness 2022 | Annual Report on Homelessness 2022 | 01/30/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
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DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
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DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
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LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
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GCI-1049A | No Contact Letter | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
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CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
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