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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PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
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PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
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CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
|
CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
|
LCR-1056A-S | Declaración de Entendemiento del Solicitante par Hogar de Desarrollo para Niño o Adulto | 04/01/2023 |
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LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
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CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
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CSE-1290A-S | Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores | 10/01/2023 |
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EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
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CCA-1176A-S | Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
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SNA-1012A | SNA E&T Referral to Provider | 11/01/2018 |
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SNA-1012AS | SNA E&T Referral to Provider (Spanish) | 11/01/2018 |
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AG-031-N | Social Service Report and Instructions for Non-Registered Services | 08/01/2012 |
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AG-031-R | Social Service Report and Instructions for Registered Services | 03/01/2010 |
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J-930-A-S | Solicitud de Adaptación Eficaz para Participar en un Programa, Servicio o Actividad | 07/01/2020 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
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CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
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