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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GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
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FAA-1217A | Request for Verification of Godparent Specified Relative | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
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FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
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DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
Download | Number | Name | Effective Date |
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UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
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CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
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WIO-1160A | WIOA Title I-B Adult Worker Program Eligibility Checklist (English) | 05/01/2022 |
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WIO-1160B | WIOA Title I-B Dislocated Worker Program Eligibility Checklist (English) | 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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CSE-1178A | Child Support Modification Packet (English) | 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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CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
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PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
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PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
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DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
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Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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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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