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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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 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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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
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RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
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FAA-1812A | FAA Virtual Services Flyer | 09/01/2022 |
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CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
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DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
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UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 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-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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CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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DDD-1370A | Child Information Guide | 07/01/2018 |
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UIB-0098G | Eligibility Investigation Record -Vacation, Holiday, Sick or Severance Pay | 07/01/2018 |
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