You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
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GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
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FAA-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
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FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
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FAA-1724A-SXLP | Páginas de Firma de la Solicitud (Letra Extra Grande) | 07/01/2023 |
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DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
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FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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