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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Form Name Effective Date
CSE-1165A Acknowledgment Tracking Form 12/01/2015
HRP-1014A-S Denuncia / Queja de Derechos Civiles (Civil Right Complaint/Grievance 12/01/2015
CCA-1175A Autorización Para Operar un Sevicio de Cuidado de Niño 12/01/2015
CS-258 Affidavit of Paternity Rescission 12/08/2015
CCA-1198A Acknowledgement of Receipt and Understanding 02/01/2016
CCA-1197A Emergency Disaster Plan 02/01/2016
DDD-1742A Metabolic Low Protein Foods Ordering Form -Dietary Specialties Groceries 03/01/2016
DDD-1742B Metabolic Low Protein Foods Ordering Form - Nutricia North America 03/01/2016
DDD-1742C Metabolic Low Protein Foods Ordering Form - PKU Perspectives 03/01/2016
HRP-1005A TEFAP Monthly Inventory and Participation Report (MIPR) - Distribution Sites 03/01/2016

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