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Download Number Form Name Effective Date
GCI-1043A-S Developmental Evaluation Report (Spanish Accessible) 06/01/2016
UB-192 Employment Listing 05/01/2016
UB-192-S Employment Listing (Spanish) 05/01/2016
CCA-1207A-S Aviso Sobre Derechos de Monitorización - Verificación de Divulgación 05/01/2016
UB-194-FF Employer Verification or Requalifying Earnings 05/01/2016
DDD-1532A Hardship Reduction Request 05/01/2016
DDD-1532A-S Solicitud de Reducción Debido a Dificultad Económica 05/01/2016
ESA-1297A Assurances for Interstate and Interstate Clearance Orders 05/01/2016
CCA-1207A Notice of Monitoring Rights 05/01/2016
CCA-1204A Child Care Expulsion Form 04/01/2016

Download Number Form Name Effective Date
TANF Report 2005 TANF State Plan Effective 2005 Amended February 2007 10/01/2005
2005 Child Care Report to JLBC Child Care Report to JLBC 2005 09/29/2005
Family Support Program 2006 DDD Family Support Program Annual Report 2006 07/01/2005
Will Anyone Care April 2005 Will Anyone Care April 2005 04/01/2005
Annual Report 2003-2004 2003-2004 DES Annual Report 01/27/2005
DES Welfare-2004 DES Welfare Report 2004 12/31/2004
Annual Report on Homelessness 2004 13th Annual Report on Homelessness December 2004 12/01/2004
CCA Market Rate Survey 04 Child Care Market Rate Survey 2004 12/01/2004
Annual Report 2002-2003 2002-2003 DES Annual Report 02/02/2004
DES Welfare-2003 DES Welfare Report 2003 12/31/2003

No results available.

No results available.


Download Number Form Name Effective Date
UB-126-FFS Request for Reconsideration/Appeal (Spanish) 03/01/2018
DDD-1896A Employment Services: Do You Want To Work? 03/01/2018
CC-225 Verification of Unable\Unavailable Status 03/01/2018
UB-108 Name and Address Change Request (Eng/Span) 03/01/2018
DES-1076AS Solicitud Para La Búsqueda En El Registro Central Con Objetivo De Verificar Antecedentes 03/01/2018
DDD-1896A-S Servicios de Empleo de la DDD: ¿Desea Trabajar? 03/01/2018
UB-092 Request for Waiver of Overpayment 03/01/2018
WIO-1031A Training Provider Assurances 03/01/2018
UB-092-A Confidential Financial Statement 03/01/2018
WIO-1040A Training Provider Assurances 03/01/2018

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