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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.

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.
Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
You can click on the column headers to sort the search results.

Number	Document Name	Effective Date
FAA-1111A	Participant Statement Verification Worksheet	06/01/2023
FAA-1523A	Cash Programs Personal Responsibility Agreement (PRA) (English)	06/01/2023
FAA-1111A-S	Formulario para Verificar la Declaración del Participante	06/01/2023
FAA-1523A-S	Cash Programs Personal Responsibility Agreement (PRA) (Spanish)	06/01/2023
FAA-1111A-SXLP	Formulario para Verificar la Declaración del Participante (Letra extra grande)	06/01/2023
FAA-1439A-S	Self-Employment Income Statement (Spanish)	06/01/2023
FAA-1111A-SLP	Formulario para Verificar la Declaración del Participante (Letra grande)	06/01/2023
FAA-1440A	Cash Assistance Benefit Limit Extension Request (English)	06/01/2023
FAA-1823A	Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish)	06/01/2023
FAA-1439A-SXLP	Self-Employment Income Statement - Extra Large Print (Spanish)	06/01/2023

Number	Document Name	Effective Date
FAA-1111A	Participant Statement Verification Worksheet	06/01/2023
FAA-1768A	Overpayment Compromise Request Form (English)	05/01/2023
FAA-1768A-S	Overpayment Compromise Request Form (Spanish)	05/01/2023
FAA-0257A	Individual Development Account Agreement (English)	05/01/2023
FAA-0620A	Treatment Center Change Report	05/01/2023
FAA-1701A	Verification of Terminated Employment (English)	05/01/2023
FAA-0574A-XLP	Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English)	05/01/2023
FAA-0259A	Unwed Minor Parent Abuse/Neglect Claim	05/01/2023
FAA-1249A-LP	Verification of Disability (Large Print)	05/01/2023
FAA-0574A-SXLP	Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish)	05/01/2023

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