You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
|
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
|
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
|
FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
|
CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
|
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
|
HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) | 07/01/2022 |
|
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
|
CSE-1318A | TANF child supplemental page | 06/01/2022 |
|
HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
GCI-1046A | Referral Letter | 06/01/2022 |
|
GCI-1046A-S | Carta de referencia | 06/01/2022 |
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