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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DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
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DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
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CS-124 | Application for IV-D Service/Genetic Testing Agreement / Solicitud para servicios del IV-D/acuerdo para pruebas geneticas | 12/01/2017 |
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FNS-252-2 | Application for Meal Services | 04/01/2019 |
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UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
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DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
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DDD-2114A-S | Application for Redetermination of Eligibility at Age 18 (Spanish) | 09/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
Download | Number | Name | Effective Date |
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WIO-1144B | Eligible Training Provider List LWDB Monitoring Tool | 06/01/2021 |
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CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
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CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
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CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers | 07/01/2023 |
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CSE-1163A | Employer Address Information | 08/01/2023 |
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UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
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SNA-1005A-S | Employment and Career Development Plan (ECDP) (Spanish) | 03/01/2023 |
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CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
Statistical Bulletin November 2013 | Statistical Bulletin November 2013 | 12/13/2013 |
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Statistical Bulletin November 2014 | Statistical Bulletin November 2014 | 12/15/2014 |
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Statistical Bulletin November 2015 | Statistical Bulletin November 2015 | 12/15/2015 |
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Statistical Bulletin November 2016 | Statistical Bulletin November 2016 | 12/29/2016 |
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Statistical Bulletin November 2017 | Statistical Bulletin November 2017 | 12/14/2017 |
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Statistical Bulletin November 2018 | Statistical Bulletin November 2018 | 12/17/2018 |
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Statistical Bulletin November 2019 | Statistical Bulletin November 2019 | 12/16/2019 |
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Statistical Bulletin November 2020 | Statistical Bulletin November 2020 | 04/11/2022 |
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Statistical Bulletin November 2021 | Statistical Bulletin November 2021 | 04/11/2022 |
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Statistical Bulletin November 2022 | Statistical Bulletin November 2022 | 12/15/2022 |
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