You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
|
DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
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FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
|
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
|
FAA-0059A | Authority to Release Records | 06/01/2023 |
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FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
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FAA-1529A | Verification of Volunteers Hours | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
|
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
|
CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
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CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
|
DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
|
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
|
CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
|
GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
|
UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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