Documents Center
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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- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
|
RSA-1234A | Where Are You in the VR Process? | 11/01/2022 |
|
CCA-0229A-FY23 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2023 (English/Spanish) | 11/01/2022 |
|
CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
|
CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
|
CSE-1165A | Acknowledgment Tracking Form | 11/01/2022 |
|
CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
|
DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
|
DDD-1972A-S | Application for Eligibility Determination Packet (Spanish) | 11/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
WIO-1061B | Training Program Monitoring Tool | 01/01/2018 |
|
PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
|
PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
|
CS-124 | Application for IV-D Service/Genetic Testing Agreement / Solicitud para servicios del IV-D/acuerdo para pruebas geneticas | 12/01/2017 |
|
DDD-1691A | Article 9 Instructor Application Packet (English) | 11/01/2017 |
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DDD-1403A | Individual Supported Employment - Quarterly Report (English) | 11/01/2017 |
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DDD-1400B | Employment Services - Quality Assurance Review Summary (English) | 11/01/2017 |
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DDD-1403C | Individual Supported Employment - Quality Assurance Review (English) | 11/01/2017 |
|
PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 11/01/2017 |
|
CCA-1061A | A Message for My Child Care Specialist | 11/01/2017 |
