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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. 
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Number Document Name Effective Date
ESA-1332A-S Work Opportunity Tax Credit (Spanish) 04/01/2023
ESA-1332A Work Opportunity Tax Credit (English) 04/01/2023
LCR-1052A On-Going Professional Development Plan 04/01/2023
DDD-1742A Metabolic Low Protein Foods Ordering Form Vendor- Dietary Specialties Groceries (English) 04/01/2023
EAP-1008A Housing and Utility Assistance Programs (English) 04/01/2023
AAA-1184A Ombudsman Designation Checklist 04/01/2023
FAA-1850A-S Concluyen las Exenciones para Estudiantes por la Pandemia 04/01/2023
DDD-1742B Metabolic Low Protein Foods Ordering Form Vendor - Nutricia North America (English) 04/01/2023
VR-3.2 3.2 Eligibility and Order of Selection 03/31/2023
30th Month February 2023 30th Month Financial Report FY 2023 through February 2023 03/31/2023

Number Document Name Effective Date
PAU-592 Data Disclosure Information and Fee Schedule 04/01/2018
UB-092-A Confidential Financial Statement (English) 03/01/2018
UB-108 Name and Address Change Request (English / Spanish) 03/01/2018
UB-092-A-S Confidential Financial Statement (Spanish) 03/01/2018
UC-514 Report of Changes Form (English) 03/01/2018
UIA-1004A Bulk Filer Application 03/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018
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
DDD-1651A COBV Waiver Request (English) 03/01/2018
DD-099-C Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old 03/01/2018

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