Documents Center

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-1701A	Verification of Terminated Employment (English)	05/01/2023
FAA-1249A-LP	Verification of Disability (Large Print)	05/01/2023
FAA-0574A-XLP	Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English)	05/01/2023
FAA-1506A	Statement of No Income (English)	05/01/2023
FAA-1768A	Overpayment Compromise Request Form (English)	05/01/2023
FAA-1533A	Verification of Unfitness for Work for Adults	05/01/2023
FAA-1546A	Sponsor Deeming Information (English)	05/01/2023
FAA-1249A-XLP	Verification of Disability (Extra Large Print)	05/01/2023
FAA-0574A-SXLP	Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish)	05/01/2023
FAA-1768A-S	Overpayment Compromise Request Form (Spanish)	05/01/2023

Number	Document Name	Effective Date
FAA-1506A-S	Statement of No Income (Spanish)	05/01/2023
FAA-1494A-SLP	Authorized Representative Removal - Large Print (Spanish)	05/01/2023
FAA-1353A	Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (English)	05/01/2023
FAA-0051A	Verification of Financial Accounts (English)	05/01/2023
FAA-1494A-S	Authorized Representative Removal (Spanish)	05/01/2023
FAA-0065A-XLP	Verification of Living Arrangements/Residential Address - Extra Large Print (English)	05/01/2023
FAA-1701A-LP	Verification of Terminated Employment - Large Print (English)	05/01/2023
FAA-1506A	Statement of No Income (English)	05/01/2023
FAA-0065A-S	Verification of Living Arrangements/Residential Address (Spanish)	05/01/2023
CCA-1312A	Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges	03/01/2023

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