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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

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Download	Number	Name	Effective Date
49.5 KB (49.5 KB)	UB-195-FF-S	Affidavit as to Forged Endorsement (Spanish)	08/01/2017
571.81 KB (571.81 KB)	FAA-1353A	Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance	03/01/2018
67.5 KB (67.5 KB)	CCA-1164AS	Affidávit de Exención de Vacunación - Para Menores Bajo Cuidado	09/01/2011
76.5 KB (76.5 KB)	CCA-1163AS	Affidávit de Exendión de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores	09/01/2011
147.44 KB (147.44 KB)	CSE-1185A	Affidavit of Credible Person Identifying Affiant (English/Spanish)	07/01/2020
142.25 KB (142.25 KB)	CSE-1171A	Affidavit of Financial Information (Eng/Span)	04/01/2018
67 KB (67 KB)	CCA-1164A	Affidavit of Immunization Exemption - For Children in Care	09/01/2011
72 KB (72 KB)	CCA-1163A	Affidavit of Immunization Exemption - For Household Members Age 13 and Younger	09/01/2011
190.47 KB (190.47 KB)	CS-258	Affidavit of Paternity Rescission	12/08/2015
1.34 MB (1.34 MB)	CSE-1156A	Affidavit of Receipt of Direct Payments / Afidávit del Recibo de Pagos Directos	06/01/2020

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