You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
|
FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
|
FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1041A-S | Programa Suplementario de Comestibles Básicos (CSFP) Aviso de Inscripción en la Lista de Espera | 08/01/2022 |
|
HRP-1052A | CSFP Notice of Action | 08/01/2022 |
|
HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
|
HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) | 07/01/2022 |
|
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
|
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
|
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
|
HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
|
UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
|
HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
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