You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CAP-1001A | Community Action Service Providers | 12/01/2022 |
AAA-1180A | Volunteer Application | 12/01/2022 |
CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
FAA-1548A | Restaurant Owners Needed (English) | 12/01/2022 |
DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
CCA-0036A | Permission to Give Medication | 12/01/2022 |
AAA-1402A | Conflict of Interest Statement | 12/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
CS-124 | Application for IV-D Service/Genetic Testing Agreement / Solicitud para servicios del IV-D/acuerdo para pruebas geneticas | 12/01/2017 |
DDD-1400B | Employment Services - Quality Assurance Review Summary (English) | 11/01/2017 |
DDD-1691A | Article 9 Instructor Application Packet (English) | 11/01/2017 |
DDD-1403A | Individual Supported Employment - Quarterly Report (English) | 11/01/2017 |
DDD-1403C | Individual Supported Employment - Quality Assurance Review (English) | 11/01/2017 |
CCA-1061A | A Message for My Child Care Specialist | 11/01/2017 |
CCA-1061A-S | Un Mensaje para mi Especialista en Cuidado de Niños | 11/01/2017 |
DDD-1662A | Prior Authorization | 09/01/2017 |
UC-010-FF | Installment Payment Agreement (English) | 08/01/2017 |
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