Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1288A | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (English) | 07/01/2021 |
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SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
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SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
|
DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
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DDD-2233A | RFQVA Assurances and Submittal Attestation (English) | 08/01/2023 |
|
GCI-1101A | Reversal/Void Invoice Line Item Request | 10/01/2016 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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FAA-1841A | Return to Regular MA Renewals | 09/01/2023 |
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CSE-1277A | Return Documents Form (English) | 09/01/2024 |
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LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
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FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
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FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
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FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
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FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
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FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
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FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
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FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
|
LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
|
FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
POX-248 | Americans with Disabilities Act Notice | 07/01/2020 |
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POX-248A- Swahili | Americans with Disabilities Act Grievance Notice - Lobby (Swahili) | 07/01/2020 |
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POX-248A- Kinyarwanda | Americans with Disabilities Act Grievance Notice - Lobby (Kinyarwanda) | 07/01/2020 |
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POX-248A- Arabic | Americans with Disabilities Act Grievance Notice - Lobby (Arabic) | 07/01/2020 |
|
RSA-1316A | American Indian Disability Summit Program | 03/01/2023 |
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AAA-1398A-S | Alzheimer's Walk (Spanish) | 10/01/2023 |
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AAA-1398A | Alzheimer's Walk | 10/01/2023 |
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DDD-2249A-S | Age 6 Redetermination Packet (Spanish) | 11/01/2023 |
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DDD-2249A | Age 6 Redetermination Packet (English) | 11/01/2023 |
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DDD-2250A-S | Age 18 Redetermination Packet (Spanish) | 11/01/2023 |