You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
WIO-1075A | Transfer of Funds Request Form (English) | 06/01/2023 |
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2099A-S | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (Spanish) | 09/01/2021 |
DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
AAA-1369A | Quarterly Report Packet | 08/01/2021 |
AAA-1344A-S | Posición de Servicio Directo | 08/01/2021 |
FAA-1810A | Register to vote (Bilingual) | 08/01/2021 |
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