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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-0177A Claim of Good Cause (Eng/Span) 01/01/2020
FAA-0257A Individual Development Account Agreement 01/01/2021
FAA-0259A Unwed Minor Parent Abuse/Neglect Claim 12/01/2019
FAA-0259A-S Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad 12/01/2019
FAA-0260A Claim of Sexual Assault 12/01/2019
FAA-0260A-S Denuncia de Agresión Sexual o Incesto 12/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 07/01/2019
FAA-0574A-LPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 07/01/2019
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 07/01/2019

Download Number Name Effective Date
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 07/01/2019
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 07/01/2019
FAA-0574A-XLPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 07/01/2019
FAA-0620A Treatment Center Change Report 12/01/2020
FAA-0837A Authorization to Open an IDA 08/01/2019
FAA-1004A Designation of EBT Alternate Card Holder 08/01/2021
FAA-1004A-LP Designation of EBT Alternate Card Holder (Large Print) 08/01/2021
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 08/01/2021
FAA-1004A-SLP Designación de Titular Sustituto para la Tarjeta de EBT (Letra Grande) 08/01/2021
FAA-1004A-SXLP Designación de Titular Sustituto para la Tarjeta de EBT (Letra Extra Grande) 08/01/2021

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