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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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
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HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) | 07/01/2022 |
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CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
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HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
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HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
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UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
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UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
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HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
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CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
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LDU-1011A | Important Labor Dispute Information | 06/01/2022 |
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