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-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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LDU-1003A | Labor Dispute Information | 12/01/2022 |
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LCR-1031B-S | Child or Adult Developmental Home Caregiver Assessment Guide (Spanish) | 12/01/2022 |
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EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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CAP-1001A | Community Action Service Providers | 12/01/2022 |
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DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
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LCR-1080A | Licensing Investigation Template | 04/01/2018 |
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LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
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DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
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UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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DDD-289 | Child Developmental Foster Home Agreement | 04/01/2018 |
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DDD-1401A | Center Based Employment - Quarterly Report (English) | 04/01/2018 |
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UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
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