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-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 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-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1249A | Verification of Disability | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 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-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
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30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
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Statistical Bulletin March 2022 | Statistical Bulletin March 2022 | 06/01/2022 |
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Statistical Bulletin April 2022 | Statistical Bulletin April 2022 | 06/01/2022 |
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6AAC3-5YRR-2021 | Five-Year Review Report - Unemployment Insurance | 06/01/2022 |
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30th Month March 2022 | 30th Month Financial Report FY 2022 through March 2022 | 04/28/2022 |
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Statistical Bulletin June 2021 | Statistical Bulletin June 2021 | 04/12/2022 |
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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 |
Download | Number | Name | Effective Date |
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VR-7.5 | 7.5 Policy Exceptions to Allowable Services | 03/31/2021 |
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VR-9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
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VR-12.3 | 12.3 Reader Services | 03/31/2021 |
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VR-15.4 | 15.4 Fair Hearing | 03/31/2021 |
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VR-2.6 | 2.6 Duty to Report Abuse of a Minor | 03/31/2021 |
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VR-12.4 | 12.4 Interpreting Services | 03/31/2021 |
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VR-15.5 | 15.5 Director Review of Fair Hearing Decisions | 03/31/2021 |
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VR-2.7 | 2.7 Voter Registration | 03/31/2021 |
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VR-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
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VR-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
Download | Number | Name | Effective Date |
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FAA-1858A | Able-Bodied Adults Without Dependents (ABAWD) Changes | 09/01/2023 |
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FAA-1841A | Return to Regular MA Renewals | 09/01/2023 |
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ADDPC-2237A | Pathways to the Future: More Money. More Options. More Independence. | 09/01/2023 |
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FAA-1841A-S | Regreso a Renovaciones Regulares de MA | 09/01/2023 |
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FAA-1814A-S | DBME Information Packet (Spanish) | 09/01/2023 |
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FAA-1858A-S | Cambios para los adultos físicamente capaces sin dependientes (ABAWD) | 09/01/2023 |
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FAA-1814A | DBME Information Packet (English) | 09/01/2023 |
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DDD-1474A | Division Offices (English/Spanish) | 09/01/2023 |
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ADDPC-2226A-S | Camino al futuro: Programas de aprendizaje - gana dinero mientras aprendes | 08/01/2023 |
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GCI-1161A-4 | Family Delay AzEIP Programmatic Meeting - August 2023 | 08/01/2023 |
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