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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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  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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Download Number Name Effective Date
​FAA-0412A-LP ​Change Report - Large Print (English) 05/01/2023
FAA-1701A Verification of Terminated Employment 05/01/2023
FAA-1725A-S Verificación de Otros Ingresos 05/01/2023
​FAA-0412A ​Change Report (English) 05/01/2023
FAA-1768A Overpayment Compromise Request Form 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 05/01/2023
FAA-1506A Statement of No Income 05/01/2023
FAA-1768A-S Formulario de Solicitud de Reducción de Pago en Exceso 05/01/2023
FAA-1533A Verification of Unfitness for Work for Adults 05/01/2023

Download Number Name Effective Date
FAA-1494A-SLP Remoción de un(a) Representante Autorizado(a) (Letra Grande) 05/01/2023
FAA-1004A Designation of EBT Alternate Card Holder (English) 05/01/2023
FAA-1546A-S Información de Determinar a un Patrocinador 05/01/2023
FAA-1494A-S Remoción de un(a) Representante Autorizado(a) 05/01/2023
FAA-1249A Verification of Disability 05/01/2023
FAA-0065A-XLP Verification of Living Arrangements/Residential Address (Extra Large Print) 05/01/2023
FAA-1506A-S Declaración de No Tener Ingresos 05/01/2023
FAA-1004A-LP Designation of EBT Alternate Card Holder - Large Print (English) 04/01/2023
CCA-1312A Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges 03/01/2023
FAA-0001U Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 02/01/2023

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