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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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
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CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
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FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
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FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 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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CSE-1061A | Establishing Paternity | 05/01/2023 |
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CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
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FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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FAA-0060A | Authority to Release Student Information | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1212A | Direct Service Position (Certification Form) | 07/01/2021 |
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CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
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DDD-2104A | Member Interdisciplinary Team Summary | 07/01/2021 |
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DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
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DDD-2106A | Member's Circles of Support | 06/01/2021 |
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DDD-2106A-S | Círculos de Apoyo del Miembro | 06/01/2021 |
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UIB-0098C | Eligibility Investigation Record - WC ALT. Base Period | 06/01/2021 |
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UIB-0098K | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
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UIB-0098M | Record of Employment | 06/01/2021 |
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UIB-0098R | Record of Employment | 06/01/2021 |
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