You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
UC-514 | Report of Changes Form (English) | 03/01/2018 |
FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
DDD-2323A-S | Repair or Replacement of the Augmentative and Alternative Communication (AAC) System (Spanish) | 11/01/2024 |
DDD-2323A | Repair or Replacement of the Augmentative and Alternative Communication (AAC) System (English) | 11/01/2024 |
DCAD-ARAP | Rental Assistance Program Policy | 08/16/2024 |
LCR-1053A-S | Renewal Application Worksheet (Spanish) | 04/01/2015 |
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
FAA-1847A-SLP | Electronic Benefit Theft Replacement Request Form - Large Print (Spanish) | 10/01/2024 |
FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2024 |
FAA-1847A-SXLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (Spanish) | 10/01/2024 |
FAA-1847A-XLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (English) | 10/01/2024 |
FAA-1847A-S | Electronic Benefit Theft Replacement Request Form (Spanish) | 10/01/2024 |
FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2024 |
FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 10/01/2024 |
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