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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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
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DDD-1390A | Human Rights Committee Volunteer Application | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
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ESA-1220A | Work Readiness Self-Assessment | 09/01/2018 |
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UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
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ESA-1220A-S | Autoevaluación Para Determinar La Preparación Laboral | 09/01/2018 |
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DDD-1749A | Support Coordinator Guide to AAC Evaluation Referrals (English) | 09/01/2018 |
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AAA-1217A | Monthly Legal Services Assistance Report | 09/01/2018 |
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CCA-1161A | Self-Sufficiency Statement | 09/01/2018 |
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CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
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DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
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DES-1077A-S | Notice of Privacy Practices (Spanish) | 09/01/2018 |
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