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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts | 05/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
|
DDD-2201A | Clinical Practice Guidelines | 05/01/2023 |
|
FAA-0412A-XLP | Change Report (Extra Large Print) | 05/01/2023 |
|
FAA-0053A-XLP | Verification of New/Current Employment (Extra Large Print) | 05/01/2023 |
|
FAA-1530A-S | Recomendación y Participación a ABAWD | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment | 05/01/2023 |
|
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-0065A-SLP | Verificación de Situación de Residencia/Dirección Residencial (Letra grande) | 05/01/2023 |
|
DDD-1345A | Medical Justification for Home Modifications | 05/01/2023 |
|
FAA-1546A | Sponsor Deeming Information | 05/01/2023 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-0065A-SXLP | Verificación de Situación de Residencia/Dirección Residencial (Letra extra grande) | 05/01/2023 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
|
DDD-1479A | Notice of Extension | 05/01/2023 |
|
FAA-0412A-SXLP | Reporte de Cambios (Letra Extra Grande) | 05/01/2023 |
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