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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UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
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DDD-1742A | Metabolic Low Protein Foods Ordering Form Vendor- Dietary Specialties Groceries (English) | 04/01/2023 |
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DDD-2193A | Navigating the System Promotion Flyer (English) | 04/01/2023 |
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DDD-1742B | Metabolic Low Protein Foods Ordering Form Vendor - Nutricia North America (English) | 04/01/2023 |
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DDD-1742C | Metabolic Low Protein Foods Ordering Form Vendor - PKU Perspectives (English) | 04/01/2023 |
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LCR-1056A | Applicant Statement of Understanding for Child or Adult Developmental Home | 04/01/2023 |
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DDD-1742D | Metabolic Low Protein Foods Ordering Form Vendor - Ener-G Foods, Inc (English) | 04/01/2023 |
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ESA-1332A-S | Work Opportunity Tax Credit (Spanish) | 04/01/2023 |
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LCR-1056A-S | Declaración de Entendemiento del Solicitante par Hogar de Desarrollo para Niño o Adulto | 04/01/2023 |
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DDD-1673A | Agency with Choice (AWC) Provider Training Request (English) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
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DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
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DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
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CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
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CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
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LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
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CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
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DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
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CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
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