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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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
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FAA-1724A-SXLP | Páginas de Firma de la Solicitud (Letra Extra Grande) | 07/01/2023 |
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FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
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FAA-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
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FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
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FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
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CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
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FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
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FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 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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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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FAA-1828A | Provider Determination (English) | 08/01/2022 |
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HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
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HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
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OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
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OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
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DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
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DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
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DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
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UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
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DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
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DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
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UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
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