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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
|
CC-229 (FY19) | Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) | 08/01/2018 |
|
DD-525-S | Solicitud para la Determinación de Elegibilidad | 08/01/2018 |
|
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card | 08/01/2018 |
|
FA-065-FF | Verification of Living Arrangements/Residential Address | 08/01/2018 |
|
DES-1077A-LP | Notice of Privacy Practices (Large Print) | 09/01/2018 |
|
DDD-1749A | Support Coordinator Guide to AAC Evaluation Referrals | 09/01/2018 |
|
DES-1077A-S-LP | Aviso Sobre las Prácticas de Confidencialidad (Letra Grande) | 09/01/2018 |
|
UB-010 | Eligibility Review Questionnaire | 09/01/2018 |
|
UB-010-S | Cuestionario para Revisión de Admisibilidad | 09/01/2018 |
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