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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FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
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HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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HRP-1041A-S | Programa Suplementario de Comestibles Básicos (CSFP) Aviso de Inscripción en la Lista de Espera | 08/01/2022 |
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FAA-1828A | Provider Determination | 08/01/2022 |
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GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
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FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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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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HRP-1052A | CSFP Notice of Action | 08/01/2022 |
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