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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FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
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FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
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FAA-1725A | Verification of Other Income | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1085A | Vision Screening Checklist | 07/01/2020 |
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CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
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RSA-1390A | Statement of Services Rendered | 07/01/2020 |
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J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
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GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
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GCI-1088A-S | Guía de Evaluación para los Niños y sus Familias | 06/01/2020 |
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GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
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GCI-1084A | Hearing Screening Tracking | 06/01/2020 |
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GCI-1084A-S | Seguimiento de la Revisión Auditiva | 06/01/2020 |
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CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
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