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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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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GCI-1033A | Transition Conference Summary | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
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FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
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CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
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HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
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HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
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HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
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UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
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HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
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HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
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HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
|
DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
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DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
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DDD-1700A | Keep Your Baby Healthy | 02/01/2015 |
|
PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
|
PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
|
DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
|
AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
|
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
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