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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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 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-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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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-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
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UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
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CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
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CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
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CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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GCI-1021A-S | Plan Individualizado de Servicio Familiar - Paquete | 04/01/2022 |
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GCI-1131A | Child File Review Form: Indicator 1: Timely Provision of Services | 04/01/2022 |
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GCI-1135A | Child File Review Form: Indicator 8A Transition Planning Meeting (TPM) | 04/01/2022 |
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GCI-1137A | Child File Review Form: Indicator 8b PEA Notification | 04/01/2022 |
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