You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
|
AAA-1350C | Annual Follow Up | 05/01/2021 |
|
CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
|
CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
|
6AAC18 | Five-Year Review Report-Office of Licensing, Certification, and Regulation | 05/04/2021 |
|
SNA & ET State Plan 2021 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2021 | 05/11/2021 |
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
|
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
|
UIB-0098R | Record of Employment | 06/01/2021 |
|
UIB-0098K | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
|
GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
|
DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
|
FAA-1530A-LP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (English) | 11/01/2023 |
|
FAA-1530A-SLP | FAA-1530A-XLP - Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (Spanish) | 11/01/2023 |
|
UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
|
UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
|
EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
|
RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
|
RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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