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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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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
  2. Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks. 
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Number Document Name Effective Date
WIO-1130A Migrant and Seasonal Farmworker Resources Wallet Card 04/01/2023
ESA-1332A Work Opportunity Tax Credit (English) 04/01/2023
WIO-1130A-S Tarjeta de bolsillo con Recursos para Trabajadores Agrícolas Migrantes y de Temporada 04/01/2023
CCA-1175A-S Landlord Permission to Provide Family Child Care Service (Spanish) 04/01/2023
LCR-1052A On-Going Professional Development Plan 04/01/2023
EAP-1008A Housing and Utility Assistance Programs (English) 04/01/2023
DDD-1673A Agency with Choice (AWC) Provider Training Request (English) 04/01/2023
FAA-1850A-S Concluyen las Exenciones para Estudiantes por la Pandemia 04/01/2023
VR-3.2 3.2 Eligibility and Order of Selection 03/31/2023
30th Month February 2023 30th Month Financial Report FY 2023 through February 2023 03/31/2023

Number Document Name Effective Date
UIT-1146A Limited Power of Attorney (English) 04/01/2018
UB-130A-S Work History (Spanish) 03/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018
DDD-1651A COBV Waiver Request (English) 03/01/2018
DD-099-B Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old 03/01/2018
DD-099-C Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old 03/01/2018
DD-099-D Pre-PAS Screening Tool for Members At Least 12 Years Old 03/01/2018
UB-108 Name and Address Change Request (English / Spanish) 03/01/2018
UB-092-A Confidential Financial Statement (English) 03/01/2018
UC-514 Report of Changes Form (English) 03/01/2018

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