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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

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Download	Number	Name	Effective Date
671.5 KB (671.5 KB)	FAA-1506A	Customer Statement of No Income	11/01/2018
675.42 KB (675.42 KB)	FAA-1004A	Designation of EBT Alternate Card Holder	07/01/2018
802.27 KB (802.27 KB)	FAA-1533A	Verification of Unfitness for Work for Adults	07/01/2018
584.1 KB (584.1 KB)	FAA-1004A-S	Designación de Titular Sustituto para la Tarjeta de EBT	07/01/2018
571.81 KB (571.81 KB)	FAA-1353A	Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance	03/01/2018
670.12 KB (670.12 KB)	FAA-1506A-S	Declaración del Cliente de Que No Tiene Ingresos	11/01/2017
566.11 KB (566.11 KB)	FAA-1362A	Request for Nutrition Assistance Replacement / Supplement	11/01/2017
141.21 KB (141.21 KB)	FAA-1362A-S	Solicitud para reemplazo / suplemento de asistencia nutricional	11/01/2017
667.53 KB (667.53 KB)	FAA-1097A	Young Adult Transitional Insurance (YATI) Referral	09/01/2017
573.06 KB (573.06 KB)	FAA-1570A	Cash Assistance Drug Conviction Sanction Agreement	08/01/2017

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