You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
|
FAA-1546A | Sponsor Deeming Information | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
|
FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
|
FAA-1366A | Eligibility Requirements | 05/01/2023 |
|
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
|
FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
|
DDD-2149A | Authorization to Release Records | 08/01/2022 |
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FAA-1828A | Provider Determination | 08/01/2022 |
|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
|
RSA-1382A | BEP Memo | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
|
DDD-1748A | Strategic Plan 2016 - 2020 | 06/01/2016 |
|
DDD-1748B-S | Plan Estratégico 2016-2020 Resumen | 06/01/2016 |
|
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
|
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
|
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
|
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
|
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (Eng/Spa) | 06/01/2015 |
|
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
|
DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
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