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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CSE-1061A-S | Establecer la Paternidad | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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GCI-1033A | Transition Conference Summary | 05/01/2023 |
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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
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FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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FAA-1828A | Provider Determination | 08/01/2022 |
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HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
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