You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
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CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 04/01/2023 |
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AAA-1184A | Ombudsman Designation Checklist | 04/01/2023 |
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DDD-2193A | Navigating the System Promotion Flyer (English) | 04/01/2023 |
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CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 04/01/2023 |
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LCR-1051A | Permission for Transfer of Record | 04/01/2023 |
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DDD-1742A | Metabolic Low Protein Foods Ordering Form Vendor- Dietary Specialties Groceries (English) | 04/01/2023 |
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LCR-1051A-S | Permiso Para Transferir el Archivo | 04/01/2023 |
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DDD-1742B | Metabolic Low Protein Foods Ordering Form Vendor - Nutricia North America (English) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1235A | CCA Change Report | 11/01/2021 |
|
DDD-1984A-S | Behavior Plan / Packet Requirements (Spanish) | 11/01/2021 |
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CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
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CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
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GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
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CCA-0041A | Fair Hearing Request | 11/01/2021 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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CCA-1186A | Authority to Release Information | 11/01/2021 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
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CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
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