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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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Download Number
 		Name Effective Date
FAA-1208A-LP Language Notification Flyer (Large Print) 02/01/2021
FAA-1208A-XLP Language Notification Flyer (Extra Large Print) 03/01/2021
FAA-1249A Verification of Disability 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
FAA-1249A-XLP Verification of Disability (Extra Large Print) 05/01/2023
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 05/01/2023
FAA-1353A-S Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional 05/01/2023
FAA-1410A Grant Diversion Script and Applicant Agreement 12/01/2019
FAA-1410A-LP Grant Diversion Script and Applicant Agreement (Large Print) 12/01/2019
FAA-1410A-LPS Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) 12/01/2019

Download Number Name Effective Date
FAA-1439A-SXLP Declaración de Sueldo de Empleo por Cuenta Propia (Letra Extra Grande) 05/01/2023
FAA-1439A-XLP Self-Employment Income Statement (Extra Large Print) 05/01/2023
FAA-1440A Cash Assistance Benefit Limit Extension Request 12/01/2019
FAA-1440A-LP Cash Assistance Benefit Limit Extension Request (Large Print) 12/01/2019
FAA-1440A-XLP Cash Assistance Benefit Limit Extension Request (Extra Large Print) 12/01/2019
FAA-1442A Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información 12/01/2019
FAA-1493A Authorized Representative Request 09/01/2022
FAA-1493A-LP Nutrition Assistance Authorized Representative Request (Large Print) 09/01/2022
FAA-1493A-S Solicitud de Representante Autorizado(a) 09/01/2022
FAA-1493A-SLP Solicitud de Representante Autorizado(a) (Letra Grande) 09/01/2022

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