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-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
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CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
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FAA-1249A | Verification of Disability | 05/01/2023 |
Download | Number | Name | Effective Date |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
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WIO-1160C | WIOA Title I-B Youth Program Eligibility Checklist (English) | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
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FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
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DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
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CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
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GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
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AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
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Register Data Security | Register for Basic Data Security | 09/27/2007 |
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AAA-1075A | Assisted Living Residents Rights (English) | 07/01/2005 |
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