You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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Number |
Name | Effective Date |
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FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
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FAA-1841A-S | Regreso a Renovaciones Regulares de MA | 09/01/2023 |
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FAA-1841A | Return to Regular MA Renewals | 09/01/2023 |
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FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
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FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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FAA-1828A | Provider Determination | 08/01/2022 |
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FAA-1826A-XLP | Nutrition Assistance (NA) Authorized Representative Request (Extra Large Print) | 06/01/2023 |
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FAA-1826A-SXLP | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) (Letra Extra Grande) | 06/01/2023 |
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FAA-1826A-SLP | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) (Letra Grande) | 06/01/2023 |
Download | Number | Name | Effective Date |
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CCA-1116A | Child Care Assistance Priority Waiting List Income Table | 09/01/2019 |
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CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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CCA-1061A-S | Un Mensaje para mi Especialista en Cuidado de Niños | 11/01/2017 |
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CCA-1061A | A Message for My Child Care Specialist | 11/01/2017 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
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