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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CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
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DDD-1747A-S | Contrato De Residencia Para Las Residencias De Vivienda Asistida (ALF) | 10/01/2022 |
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LCR-1000C | Corrective Action Plan (Agency) | 12/01/2022 |
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LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
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LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
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CSBG State Plan SFY 2012 | CSBG State Plan SFY 2012 | 09/09/2011 |
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HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
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HRP-1044A | CSFP Information Brochure | 11/01/2017 |
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HRP-1052A | CSFP Notice of Action | 08/01/2022 |
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CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
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UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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CSE-1158A | Request for Review of Arrears (English) | 10/01/2023 |
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CSE-1158A-S | Request for Review of Arrears (Spanish) | 10/01/2023 |
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CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
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CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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CSE-0167A | Request for Title IV-D Child Support Services and Applicant’s Rights and Responsibilities (English) | 01/01/2024 |
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CSE-0167A-S | Request for Title IV-D Child Support Services and Applicant’s Rights and Responsibilities (Spanish) | 01/01/2024 |
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RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
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