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Download Number Form Name Effective Date
DES-1077A-LP Notice of Privacy Practices (Large Print) 09/01/2018
CCA-1161A Self-Sufficiency Statement 09/01/2018
DES-1077A-S-LP Aviso Sobre las Prácticas de Confidencialidad (Letra Grande) 09/01/2018
CCA-1161A-S Declaración de Autosuficiencia 09/01/2018
DDD-1749A Support Coordinator Guide to AAC Evaluation Referrals 09/01/2018
UB-010 Eligibility Review Questionnaire 09/01/2018
DD-191 Incident Report 09/01/2018
FA-225-S Afirmación De Hogares Por Separado 09/01/2018
AAA-1217A Monthly Legal Services Assistance Report 09/01/2018
UB-010-S Cuestionario para Revisión de Admisibilidad 09/01/2018

Download Number Form Name Effective Date
30th Month June 2014 30th Month Report June Fiscal Year 2014 08/05/2014
Statistical Bulletin June 2014 Statistical Bulletin June 2014 07/15/2014
30th Month May 2014 30th Month Report May Fiscal Year 2014 07/10/2014
30th Month April 2014 30th Month Report April Fiscal Year 2014 07/09/2014
SSBG Plan 2014-2015 Social Services Block Grant Plan 2014-2015 07/01/2014
Statistical Bulletin May 2014 Statistical Bulletin May 2014 06/13/2014
Statistical Bulletin April 2014 Statistical Bulletin April 2014 06/02/2014
30th Month March 2014 30th Month Report March Fiscal Year 2014 05/19/2014
Statistical Bulletin March 2014 Statistical Bulletin March 2014 04/15/2014
APS SFY 2013 Adult Protective Services Annual Activity 2013 Report 04/08/2014

No results available.

Download Number Form Name Effective Date
POU-003 Notice to Employees - You are Covered by Unemployment Insurance (UI) 03/01/2014
POU-003-S Aviso a los Empleados - Usted Tiene Seguro por Desempleo 03/01/2014
CSE-1051AS Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 02/01/2014
CSE-1154A 1 Go Green With DCSS (e-Employer) - Design 1 02/01/2014
CSE-1154A 2 Go Green With DCSS (e-Employer) - Design 2 02/01/2014
CSE-1084A How Much Do I Owe? 10/01/2013
CSE-1084AS ¿Cuánto Adeudo? 10/01/2013
FAA-1492A Authorized Representatives - Rights & Responsibilities 10/01/2013
ESA-1056A Job Seekers Handbook 10/01/2013
RSA-LP8399 SBVID Transition Blind Program 09/25/2013


Download Number Form Name Effective Date
GCI-1021C Child Indicators Summary 03/01/2019
Statistical Bulletin January 2019 Statistical Bulletin January 2019 02/28/2019
30th Month Nov 2018 30th Month Financial Report FY-2019 through Nov-2018 02/15/2019
30th Month Dec-2018 30th Month Financial Report FY-2019 through Dec-2018 02/15/2019
CSE-1129A-S Autorización para pagos electrónicos 02/01/2019
DDD-1088A Client Services Trust Fund 02/01/2019
FAA-1700A SAW Contact Card 02/01/2019
DDD-1951A Habilitation IDLA Staffing Schedule 02/01/2019
DDD-1088A-S Fideicomiso para servicios a clientes 02/01/2019
HRP-1012A Food Distribution Monthly Statistical Report 02/01/2019

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