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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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
|
FAA-1812A | FAA Virtual Services Flyer | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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FAA-1812A-S | Volante de los Servicios Virtuales de FAA | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
ESA-1220A | Work Readiness Self-Assessment | 09/01/2018 |
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UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
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ESA-1220A-S | Autoevaluación Para Determinar La Preparación Laboral | 09/01/2018 |
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CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
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CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
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CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
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CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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DDD-1727A | Direct Service Position (English) | 07/01/2018 |
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DDD-1727A-S | Direct Service Position (Spanish) | 07/01/2018 |
|
DDD-1370A | Child Information Guide | 07/01/2018 |
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