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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. 
  3. You can click on the column headers to sort the search results.


Number Document Name Effective Date
30th Month March 2023 30th Month Financial Report FY 2023 through March 2023 05/02/2023
FAA-1701A-LP Verification of Terminated Employment - Large Print (English) 05/01/2023
FAA-0259A Unwed Minor Parent Abuse/Neglect Claim 05/01/2023
DDD-1622A Home Modification Requests Support Coordinator’s (SC) Checklist (English) 05/01/2023
CCA-1164A Affidavit of Immunization Exemption - For Children in Care (English) 05/01/2023
FAA-0065A-SLP Verification of Living Arrangements/Residential Address - Large Print (Spanish) 05/01/2023
FAA-1546A Sponsor Deeming Information (English) 05/01/2023
DDD-0211A Home Modifications Service Referral and Request (English) 05/01/2023
FAA-0259A-S Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad 05/01/2023
CCA-1164A-S Affidavit of Immunization Exemption - For Children in Care (Spanish) 05/01/2023

Number Document Name Effective Date
CCA-0229A-FY21 Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) 07/01/2020
OEO-1011A One-Stop Centers Monitoring Checklist for ADA Compliance 07/01/2020
J-930-A Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) 07/01/2020
GCI-1085A Vision Screening Checklist 07/01/2020
CSE-1185A Affidavit of Credible Person Identifying Affiant (English/Spanish) 07/01/2020
RSA-1390A Statement of Services Rendered 07/01/2020
GCI-1042A Family Survey 07/01/2020
GCI-1085A-S Lista de verificación para el examen de la visión 07/01/2020
GCI-1042A-S Encuesta Familiar 07/01/2020
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 06/01/2020

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