You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
APS Action Plan | Adult Protective Services Action Plan | 10/30/2020 |
|
APS SFY 2016 | Adult Protective Services Annual Activity 2016 Report | 06/01/2017 |
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APS SFY 2017 | Adult Protective Services Annual Activity 2017 Report | 12/01/2017 |
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APS SFY 2018 | Adult Protective Services Annual Activity 2018 Report | 01/01/2019 |
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AAA-1313A | Adult Protective Services at a Glance | 05/01/2022 |
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LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
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APS SFY 2018 Statistics | Adult Protective Services SFY 2018 Activity Summary/Statistics by County | 08/02/2018 |
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UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2089A | DDD Person Centered Service Plan (English) | 01/01/2024 |
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DDD-2089A-S | DDD Person Centered Service Plan (Spanish) | 01/01/2024 |
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DDD-2089A-LP | DDD Person Centered Service Plan - Large Print (English) | 01/01/2024 |
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DDD-2089A-SLP | DDD Person Centered Service Plan - Large Print (Spanish) | 01/01/2024 |
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DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
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DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
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DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
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DDD-2218A | Debarment, Suspension, Ineligibility, And Voluntary Exclusion Lower Tier Covered Transaction (English) | 08/01/2023 |
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CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
|
CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
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