You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
DDD-1721A-S | Building a Relationship with a Direct Care Worker (Spanish) | 08/01/2019 |
|
RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
|
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
|
UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
|
AAA-1122A | Host Agency Application | 08/01/2019 |
|
DDD-1721A | Building a Relationship with a Direct Care Worker (English) | 08/01/2019 |
|
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
|
POU-003 | Notice to Employees (English) | 08/01/2019 |
|
POU-003-S | Notice to Employees (Spanish) | 08/01/2019 |
|
DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
|
RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
|
RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
|
DDD-1003A-S | Evaluación PASRR II | 01/01/2023 |
|
UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
|
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
|
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
|
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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