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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HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
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HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
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RSA-1382A | BEP Memo | 08/01/2022 |
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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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FAA-1828A | Provider Determination | 08/01/2022 |
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HRP-1052A | CSFP Notice of Action | 08/01/2022 |
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FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1405C | Transition To Employment - Quality Assurance Review | 05/01/2018 |
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UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
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UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
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RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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RSA-1313A-S | Autorización de Divulgación de Registros de RSA | 05/01/2018 |
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DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
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LCR-1080A | Licensing Investigation Template | 04/01/2018 |
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