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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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
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ADDPC-2224A | Pathways to the Future: Transition Plans | 08/01/2023 |
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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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PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
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PUR-1037A | Forced Labor of Ethnic Uyghurs Ban | 08/01/2023 |
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GCI-1168A | Decision Tree for Child Indicator Summary Rating Discussions | 08/01/2023 |
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FAA-1855A | Refugee Unit-Client Scheduling Intake Form | 08/01/2023 |
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FAA-1788A-S | Tarjeta de Prueba de Elegibilidad | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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GCI-1032A-S | Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
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FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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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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GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
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FAA-1546A | Sponsor Deeming Information | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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