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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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
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FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
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LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
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CSE-1318A | TANF child supplemental page | 06/01/2022 |
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HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
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CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
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CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
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FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
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WIO-1160A | WIOA Title I-B Adult Worker Program Eligibility Checklist (English) | 05/01/2022 |
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WIO-1160B | WIOA Title I-B Dislocated Worker Program Eligibility Checklist (English) | 05/01/2022 |
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WIO-1160C | WIOA Title I-B Youth Program Eligibility Checklist (English) | 05/01/2022 |
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