You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
|
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
|
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
|
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
|
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
|
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
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CSE-1318A | TANF child supplemental page | 06/01/2022 |
|
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
|
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
|
DCS-1339A-S | Solicitud de Revisión Administrativa (Incautación de Propiedad) | 06/01/2022 |
|
GCI-1046A | Referral Letter | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
|
AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
|
Register Data Security | Register for Basic Data Security | 09/27/2007 |
|
AAA-1075A | Assisted Living Residents Rights (English) | 07/01/2005 |
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