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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FAA-1821A-SXLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
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FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
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FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
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FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
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FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
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GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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CCA-1199A-S | Emergency Preparedness & Response Planning (Spanish) | 04/01/2022 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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ESA-1303A | Job Order | 04/01/2022 |
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GCI-1021A-S | Plan Individualizado de Servicio Familiar - Paquete | 04/01/2022 |
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UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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CCA-1199A | Emergency Preparedness & Response Planning (English) | 04/01/2022 |
|
GCI-1141A | SSIP Evaluation Plan Summary (English) | 04/01/2022 |
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