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-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 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-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
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FAA-1004A-LP | Designation of EBT Alternate Card Holder - Large Print (English) | 04/01/2023 |
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CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
Statistical Bulletin January 2021 | Statistical Bulletin January 2021 | 04/11/2022 |
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Statistical Bulletin May 2021 | Statistical Bulletin May 2021 | 04/11/2022 |
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Statistical Bulletin October 2021 | Statistical Bulletin October 2021 | 04/11/2022 |
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Statistical Bulletin September 2020 | Statistical Bulletin September 2020 | 04/11/2022 |
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Statistical Bulletin February 2022 | Statistical Bulletin February 2022 | 04/11/2022 |
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Statistical Bulletin April 2020 | Statistical Bulletin April 2020 | 04/11/2022 |
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Statistical Bulletin November 2021 | Statistical Bulletin November 2021 | 04/11/2022 |
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Statistical Bulletin May 2020 | Statistical Bulletin May 2020 | 04/11/2022 |
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Statistical Bulletin October 2020 | Statistical Bulletin October 2020 | 04/11/2022 |
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Statistical Bulletin February 2021 | Statistical Bulletin February 2021 | 04/11/2022 |
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