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-1513A | Time Saving Tips | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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FAA-1724A-SLP | Páginas de Firma de la Solicitud (Letra Grande) | 07/01/2023 |
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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
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DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
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FAA-1513A-S | Consejos para Ahorrar Tiempo | 07/01/2023 |
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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
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FAA-1724A-SXLP | Páginas de Firma de la Solicitud (Letra Extra Grande) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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DDD-1954-S | Participación en DDD | 07/01/2019 |
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DDD-0517A | Working With You (English) | 06/01/2019 |
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DDD-0517A-S | Working With You (Spanish) | 06/01/2019 |
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GCI-1081A | Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) | 06/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
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FAA-1375A | Nutrition Assistance Posters | 04/01/2019 |
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AAA-1316A | SNAP-O Partnership | 04/01/2019 |
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