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-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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AAA-1301A-S | Adult Protective Services (APS) Records Request Form (Spanish) | 08/01/2023 |
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DDD-2218A | Debarment, Suspension, Ineligibility, And Voluntary Exclusion Lower Tier Covered Transaction (English) | 08/01/2023 |
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CCA-1301A | Background Check Requirements for Child Care Staff (Eng/Spa) | 08/01/2023 |
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DDD-2232A | Naloxone to Treat Opioid Overdose/Naloxona para Tratar la Sobredosis de Opioides (English/Spanish) | 08/01/2023 |
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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
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RSA-1463A | Windmills Disability Awareness Training (English) | 08/01/2023 |
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CCA-1316A-S | Asistencia para el Cuidado de Niños para la Fuerza Laboral Educativa | 08/01/2023 |
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CCA-1302A | Background Check for Child Care Providers - FAQs | 08/01/2023 |
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ADDPC-2225A | Pathways to the Future: Career and Technical Education | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
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FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
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FAA-1725A | Verification of Other Income | 05/01/2023 |
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