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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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
ESA-1303A | Job Order | 04/01/2022 |
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CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
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UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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DDD-1988A | PRC Disposition (English) | 03/01/2022 |
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DDD-1988A-S | PRC Disposition (Spanish) | 03/01/2022 |
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HRP-1005B | TEFAP Monthly Inventory and Participation Report (MIPR) Instructions | 02/01/2022 |
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HRP-1003A | Commodity Disposal Report (CDR) | 02/01/2022 |
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