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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30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
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DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
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DDD-2069A-S | DDD Eligibility Packet (Spanish) | 11/01/2022 |
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DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
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CCA-0229A-FY23 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2023 (English/Spanish) | 11/01/2022 |
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DDD-2069A | DDD Eligibility Packet (English) | 11/01/2022 |
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DDD-0097A | Pre-Service Provider Orientation (English) | 11/01/2022 |
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VR-1009A-LP | Vocational Rehabilitation Client Handbook (Large Print) | 11/01/2022 |
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DDD-0097A-S | Pre-Service Provider Orientation (Spanish) | 11/01/2022 |
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CSE-1165A | Acknowledgment Tracking Form | 11/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIA-1060A | Filing of Weekly Claims (English/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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RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
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DDD-1328B | Referral to Vocational Rehabilitation Packet (English) | 08/01/2019 |
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AAA-1122A | Host Agency Application | 08/01/2019 |
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UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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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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CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
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