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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-1724A-SXLP Páginas de Firma de la Solicitud (Letra Extra Grande) 03/01/2023
FAA-1724A-S Páginas de Firma de la Solicitud 03/01/2023
FAA-1768A Overpayment Compromise Request Form 05/01/2023
FAA-1493A-LP Nutrition Assistance Authorized Representative Request (Large Print) 09/01/2022
FAA-0001U Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 02/01/2023
FAA-1839A MyFamilyBenefits Postcard (English/Spanish) 12/01/2022
FAA-1148A Medical Incapacity Statement (Hospitalized Applicant) 01/01/2020
FAA- 1840A-S Mantenga sus Beneficios a Salvo 01/01/2023
DES-1254A-S Lista de Programas y Servicios de DES 03/01/2023
FAA-1208A-LP Language Notification Flyer (Large Print) 02/01/2021

Download Number Name Effective Date
FAA-0257A Individual Development Account Agreement 05/01/2023
FAA-1415A-LP Illegal Drug Use Statement (Large Print) 05/01/2021
FAA-1415A Illegal Drug Use Statement 05/01/2021
FAA-1111A-S Hoja para Verificar la Declaración del Participante 11/01/2022
FAA-0098A-LP Hearing Request (Large Print) 05/01/2023
FAA-0098A-XLP Hearing Request (Extra Large Print) 05/01/2023
FAA-0098A Hearing Request 05/01/2023
FAA-1410A-LP Grant Diversion Script and Applicant Agreement (Large Print) 12/01/2019
FAA-1410A-XLP Grant Diversion Script and Applicant Agreement (Extra Large Print) 12/01/2019
FAA-1410A Grant Diversion Script and Applicant Agreement 12/01/2019

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