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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DDD-0640A-S | How DDD Eligibility is Determined (Spanish) | 11/01/2022 |
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DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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DDD-2069A | DDD Eligibility Packet (English) | 11/01/2022 |
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VR-1009A | Vocational Rehabilitation Client Handbook | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
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DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
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CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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CSE-1165A | Acknowledgment Tracking Form | 11/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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ETA- 081A -S | Suplemento a la Solicitud para Solicitantes de DUA que Trabajan por Cuenta Propia | 04/01/2018 |
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LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
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ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
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DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
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UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
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DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
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UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
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