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Download | Number | Form Name | Effective Date |
---|---|---|---|
|
FAA-1097A | Young Adult Transitional Insurance (YATI) Referral | 09/01/2017 |
|
UB-101-B-FF | Work Search Plan of Action Affidavit | 11/01/2011 |
|
UB-101-A | Work Search Log (Eng/Span) | 04/01/2017 |
|
WOTC - How to Qualify and Participate | Work Opportunity Tax Credit-How to Qualify and Participate | 02/01/2008 |
|
UB-130A | Work History | 03/01/2018 |
|
SNA-1027B | Work Focus (ABAWD) | 12/01/2017 |
|
SNA-1027A | Work Focus | 11/01/2018 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 08/01/2012 |
|
CCA-1015A | Withdrawal or Termination Request | 07/01/2018 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 07/01/2019 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
Tribal Consultation Report 2014 | Tribal Consultation Report 2014 | 09/05/2014 |
|
Tribal Consultation Report 2013 | Tribal Consultation Report 2013 | 09/04/2013 |
|
Tribal Consultation Report 2012 | Tribal Consultation Report 2012 | 09/17/2012 |
|
Tribal Consultation Report 2011 | Tribal Consultation Report 2011 | 06/30/2011 |
|
Tribal Consultation Report 2010 | Tribal Consultation Report 2010 | 07/07/2010 |
|
Tribal Consultation Report 2009 | Tribal Consultation Report 2009 | 06/30/2009 |
|
Tribal Consultation Report 2008 | Tribal Consultation Report 2008 | 06/27/2008 |
|
Tribal Consultation Report 2006 | Tribal Consultation Report 2006 | 12/31/2006 |
|
TANF-WVP 2018 | Temporary Assistance for Needy Families (TANF) Work Verification Plan 2018 | 01/01/2018 |
|
TANF Report October 2017 | TANF State Plan Effective October 1, 2017 | 12/05/2019 |
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