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-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-1366A | Eligibility Requirements | 05/01/2023 |
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FAA-1725A | Verification of Other Income | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
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CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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ESA-1303A | Job Order | 04/01/2022 |
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GCI-1131A | Child File Review Form: Indicator 1: Timely Provision of Services | 04/01/2022 |
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GCI-1135A | Child File Review Form: Indicator 8A Transition Planning Meeting (TPM) | 04/01/2022 |
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GCI-1137A | Child File Review Form: Indicator 8b PEA Notification | 04/01/2022 |
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