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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. 
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Number Document Name Effective Date
FAA-1725A Verification of Other Income 05/01/2023
FAA-1701A Verification of Terminated Employment (English) 05/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) 05/01/2023
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 05/01/2023
GCI-1033A Transition Conference Summary 05/01/2023
FAA-0065A Verification of Living Arrangements/Residential Address (English) 05/01/2023
FAA-0098C EBT Transaction Adjustment Hearing Request 05/01/2023
FAA-1494A-XLP Authorized Representative Removal (Extra Large Print) 05/01/2023
CCA-1163A-S Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) 05/01/2023
GCI-1033A-S Resumen de la Conferencia de Transición 05/01/2023

Number Document Name Effective Date
GCI-1082A Consent for Screening - Prior Written Notice 06/01/2020
GCI-1082A-S Consentimiento para Evaluación - Notificación Previa por Escrito 06/01/2020
GCI-1088A-S Guía de Evaluación para los Niños y sus Familias 06/01/2020
LCR-1053A Renewal Application Worksheet (English) 06/01/2020
AAA-1355A APS Registry Employer Certification Form 05/01/2020
GCI-1020A Authorization to Disclose Protected Health Information 05/01/2020
GCI-1039A Consent to Obtain Information 05/01/2020
GCI-1039AS Autorización para Obtener Información 05/01/2020
CCA-1268A Scholarship Reimbursement Rates 04/01/2020
ESA-1126A Cancellation of Direct Deposit (English) 04/01/2020

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