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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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  1. 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. 
  2. 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. 
  3. You can click on the column headers to sort the search results.


Number Document Name Effective Date
FAA-0051A Verification of Financial Accounts (English) 05/01/2023
FAA-1765A Authority to Release Information 05/01/2023
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
FAA-1565A-S Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional 05/01/2023
FAA-1768A-S Formulario de Solicitud de Reducción de Pago en Exceso 05/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) 05/01/2023
CSE-1061A-S Establecer la Paternidad 05/01/2023
CCA-1163A-S Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) 05/01/2023
FAA-0559A Food Distribution / Nutrition Assistance Program Participation 05/01/2023
FAA-0065A-LP Verification of Living Arrangements/Residential Address - Large Print (English) 05/01/2023

Number Document Name Effective Date
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 06/01/2020
GCI-1088A-S Guía de Evaluación para los Niños y sus Familias 06/01/2020
GCI-1084A-S Hearing Screening Tracking (Spanish) 06/01/2020
GCI-1039AS Autorización para Obtener Información 05/01/2020
AAA-1355A APS Registry Employer Certification Form 05/01/2020
GCI-1020A Authorization to Disclose Protected Health Information 05/01/2020
GCI-1039A Consent to Obtain Information 05/01/2020
CCA-1268A Scholarship Reimbursement Rates 04/01/2020
ESA-1126A Cancellation of Direct Deposit (English) 04/01/2020
ESA-1126A-S Cancellation of Direct Deposit (Spanish) 04/01/2020

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