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-1826A-SXLP | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) (Letra Extra Grande) | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
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FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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FAA-1217A | Request for Verification of Godparent Specified Relative | 06/01/2023 |
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30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
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FAA-1493A-SLP | Nutrition Assistance Authorized Representative Request - Large Print (Spanish) | 06/01/2023 |
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FAA-1440A-SXLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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DDD-1640A | Separation of Children and Adults in Center Based Programs (English) | 10/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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