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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. 
  2. Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks. 
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Number Document Name Effective Date
LCR-1051A-S Permission for Transfer of Record (Spanish) 04/01/2023
EAP-1007A Applicant Statement of No Income 04/01/2023
SNA-1075A Need Help Finding A Job 04/01/2023
CCA-1313A-S Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo 04/01/2023
CCA-1175A-S Landlord Permission to Provide Family Child Care Service (Spanish) 04/01/2023
UIB-1263A Request for Overpayment Waiver (English) 04/01/2023
DDD-2177A Getting the Most from Your Pharmacy Benefits (English/Spanish) 04/01/2023
UIB-1263A-S Request for Overpayment Waiver (Spanish) 04/01/2023
30th Month February 2023 30th Month Financial Report FY 2023 through February 2023 03/31/2023
VR-3.2 3.2 Eligibility and Order of Selection 03/31/2023

Number Document Name Effective Date
ETA-081A Supplement to Application for DUA Self-Employed Individuals 04/01/2018
DES-1076AS Solicitud Para La Búsqueda En El Registro Central Con Objetivo De Verificar Antecedentes 03/01/2018
UB-108 Name and Address Change Request (English / Spanish) 03/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018
DDD-1651A COBV Waiver Request (English) 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
DD-099-C Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old 03/01/2018
UB-130A Work History (English) 03/01/2018
DD-099-D Pre-PAS Screening Tool for Members At Least 12 Years Old 03/01/2018
UB-092-A Confidential Financial Statement (English) 03/01/2018

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