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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
FAA-1819A-S Seguridad y Prevención del Fraude de Tarjetas EBT 07/01/2023
FAA-0620C Treatment Center Monthly Roster 07/01/2023
GCI-1148A-S Directory of Early Intervention Programs (Spanish) 07/01/2023
FAA-1724A-XLP Application Signature Pages - Extra Large Print (English) 07/01/2023
CCA-1198A Acknowledgement of Receipt and Understanding 07/01/2023
EAA-1008A E75 Diversity Builder Recognition Award Event flyer 07/01/2023
FAA-1818A Nutrition Assistance (NA) Medical Expense Deduction 07/01/2023
VR-12.1 12.1 Transportation Services 06/30/2023
VR-12.2 12.2 Maintenance 06/30/2023
30th Month May 2023 30th Month Financial Report FY 2023 through May 2023 06/28/2023

Number Document Name Effective Date
UIA-1069A Application for Mixed Earners Unemployment Compensation 04/01/2021
UIA-1069A-S Solicitud de Compensación por Desempleo de Asalariados Mixtos 04/01/2021
CCA-1211B Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) 04/01/2021
CCA-1211B-S Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) 04/01/2021
CCA-1234A Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement 04/01/2021
CCA-1234A-S Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte 04/01/2021
ESA-1338A Language Line Translation Services Utilized 03/01/2021
DDD-1530A-SLP Managed Risk Agreement Services and/or Placement -Large Print (Spanish) 03/01/2021
DDD-2090A Program Integrity Requirements Verification 03/01/2021
DDD-2093A DDD Behavioral Health Advocate Referral 03/01/2021

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