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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- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
|
CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
|
CSE-1158A-S | Request for Review of Arrears (Spanish) | 09/01/2024 |
|
CSE-1158A | Request for Review of Arrears (English) | 09/01/2024 |
|
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
|
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
|
GCI-1212A | Request for Reconsideration Process (English) | 07/01/2024 |
|
UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
|
UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CSE-1007A-S | Encuesta de Satisfacción del Cliente | 09/01/2019 |
|
CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
|
DDD-1404E | Employment Support Aide Agreement (English) | 05/01/2019 |
|
DDD-1404B | Employment Support Aide - Six Month Report (English) | 05/01/2017 |
|
DDD-1404A | Employment Support Aide - Quarterly Report (English) | 06/01/2017 |
|
DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
|
DDD-1400B | Employment Services - Quality Assurance Review Summary (English) | 11/01/2017 |
|
ESA-1306A | Employment Service Registration | 07/01/2023 |
|
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
|
CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |