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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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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DDD-1390A | Human Rights Committee Volunteer Application | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 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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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
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AAA-1217A | Monthly Legal Services Assistance Report | 09/01/2018 |
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CCA-1161A | Self-Sufficiency Statement | 09/01/2018 |
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CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
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CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
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DDD-1370A | Child Information Guide | 07/01/2018 |
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DDD-1370A-S | Información Sobre el Menor | 07/01/2018 |
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DDD-1727A | Direct Service Position (English) | 07/01/2018 |
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DDD-1727A-S | Direct Service Position (Spanish) | 07/01/2018 |
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CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
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