You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 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-1259A | DES Certified Home-Based Child-Care Provider Pre Application | 07/01/2019 |
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LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
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CCA-1260A | Back Up Provider Application | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
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AAA-1204A | Volunteer Performance Evaluation | 12/01/2022 |
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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
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AAA-1180A | Volunteer Application | 12/01/2022 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
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RSA-1298B-S | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas | 01/01/2023 |
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OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
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