You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
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DBS-1085A-S | AZ ABLE Booklet (Spanish) | 06/01/2023 |
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FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 06/01/2023 |
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FAA-1826A | Nutrition Assistance (NA) Authorized Representative Request | 06/01/2023 |
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FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
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FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
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FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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DBS-1085B-S | AZ ABLE Card (Spanish) | 06/01/2023 |
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FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (English) | 06/01/2023 |
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FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2069A | DDD Eligibility Packet (English) | 11/01/2022 |
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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
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