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Download Number Form Name Effective Date
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
UB-400 Shared Work Unemployment Compensation - Information and Application 07/01/2018
LCR-1005A-S Aviso de los Derechos Durante Inspección 07/01/2018
AAA-1301A-S Servicios de Protección al Adulto (APS) Solicitud de Registros 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
DDD-1370A Child Information Guide 07/01/2018
DDD-1370A-S Información Sobre el Menor 07/01/2018
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
LCR-1005A Notice of Inspection Rights 07/01/2018
CCA-1015A Withdrawal or Termination Request 07/01/2018

Download Number Form Name Effective Date
Statistical Bulletin April 2013 Statistical Bulletin April 2013 05/15/2013
30th Month March 2013 30th Month Report March Fiscal Year 2013 05/09/2013
Statistical Bulletin March 2013 Statistical Bulletin March 2013 04/16/2013
30th Month February 2013 30th Month Report February Fiscal Year 2013 04/09/2013
30th Month January 2013 30th Month Report January Fiscal Year 2013 03/28/2013
Statistical Bulletin February 2013 Statistical Bulletin February 2013 03/26/2013
Statistical Bulletin January 2013 Statistical Bulletin January 2013 02/15/2013
30th Month December 2013 30th Month Report December Fiscal Year 2013 02/14/2013
IDEA Part C Child Count FFY 2012 Child Count and Setting 2012 02/01/2013
Statistical Bulletin December 2012 Statistical Bulletin December 2012 01/30/2013

No results available.

Download Number Form Name Effective Date
Register Data Security Register for Basic Data Security 09/27/2007
FA-155-2-FFS Trasfondo del Empleo/Capacitación Más Reciente 01/01/2006
AAA-1075A Assisted Living Residents Rights 07/01/2005
AAA-1041A A Guide for Caregivers 10/01/2002
PAY-066 Child Care Homes 09/01/2002


Download Number Form Name Effective Date
CSE-1016A Waiver of Paternity Affidavit (Eng/Span) 03/01/2019
DDD-1987A-S Acuerdo de Equipo del Plan de Tratamiento de la Conducta 03/01/2019
DDD-1988A PRC Disposition 03/01/2019
AAA-1289A Family Caregiver Support Program 03/01/2019
DDD-1988A-S Disposición del Comité de Revisión del Programa (PRC) 03/01/2019
GCI-1021A-S Plan Individualizado de Servicio Familiar - Paquete 03/01/2019
AAA-1289A-S Programa de Apoyo a los Cuidadores de Familia 03/01/2019
WIO-1113A Workforce Reentry Program 03/01/2019
GCI-1021A Individualized Family Service Plan - Packet 03/01/2019
GCI-1112A AzEIP Transfer File Checklist 03/01/2019

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