You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
|
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
|
FAA-1812A | FAA Virtual Services Flyer | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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FAA-1812A-S | Volante de los Servicios Virtuales de FAA | 09/01/2022 |
|
GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1217A | Monthly Legal Services Assistance Report | 09/01/2018 |
|
CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
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DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
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CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
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CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
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DDD-1727A | Direct Service Position (English) | 07/01/2018 |
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DDD-1727A-S | Direct Service Position (Spanish) | 07/01/2018 |
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CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
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CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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UIB-0098G | Eligibility Investigation Record -Vacation, Holiday, Sick or Severance Pay | 07/01/2018 |
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