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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DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
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LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
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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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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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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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DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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