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Download Number Form Name Effective Date
DDD-1692A Prevention and Support Instructor Recertification Packet 01/01/2018
DD-097 Pre-Service Provider Orientation 05/01/2018
DD-099-C Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old 03/01/2018
DD-099-B Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old 03/01/2018
DD-099-D Pre-PAS Screening Tool for Members At Least 12 Years Old 03/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018
RSA-1305A Pre-Employment Transition Services Request Form for Students with Disabilities 06/01/2018
DDD-1988A PRC Disposition 03/01/2019
DDD-1986A PRC Contact Information 03/01/2019
FAA-0526A Potential Overpayment (OP) Referral 04/01/2019

Download Number Form Name Effective Date
Early Intervention Program Determinations FFY 2015 Early Intervention Program Determinations FFY 2015 05/25/2017
Early Intervention Program Determinations FFY 2014 Early Intervention Program Determinations FFY 2014 05/03/2017
Early Intervention Program Determinations FFY 2013 Early Intervention Program Determinations FFY 2013 05/03/2017
DVSF2015 Domestic Violence Shelter Fund Report for SFY 2015 09/25/2015
DVSF2014 Domestic Violence Shelter Fund Report for SFY 2014 09/15/2014
CSA-1075A Domestic Violence Monies Dec 2016 06/01/2017
Domestic Violence Monies Dec 2015 Domestic Violence Monies Dec 2015 11/20/2015
Domestic Violence Monies Dec 2014 Domestic Violence Monies Dec 2014 11/26/2014
IDEA Part C Dispute Resolution FFY 2013 Dispute Resolution 2012-13 02/01/2014
DES Welfare-2009 DES Welfare Report 2009 12/09/2009

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