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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 01/01/2020 |
|
HRP-1052A | CSFP Notice of Action | 01/01/2020 |
|
FAA-0053A-XLP | Verification of New/Current Employment (Extra Large Print) | 01/01/2020 |
|
FAA-0053A-LP | Verification of New/Current Employment (Large Print) | 01/01/2020 |
|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 01/01/2020 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 01/01/2020 |
|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 01/01/2020 |
|
FAA-0060A | Authority to Release Student Information | 01/01/2020 |
|
FAA-0053A | Verification of New/Current Employment | 01/01/2020 |
|
HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 01/01/2020 |
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