You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
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FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
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FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
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FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
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FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-1004A-LP | Designation of EBT Alternate Card Holder - Large Print (English) | 04/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
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30th Month Aug-2016 | 30th Month Report August Fiscal Year 2016 | 10/14/2015 |
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30th Month Aug-2016 | 30th Month Report August Fiscal Year 2017 | 10/27/2016 |
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30th Month Aug-2017 | 30th Month Financial Report FY-2018 through Aug-2017 | 11/07/2017 |
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30th Month Aug-2018 | 30th Month Financial Report FY-2019 through Aug-2018 | 12/12/2018 |
|
30th Month August 2019 | 30th Month Financial Report FY 2019 through August 2019 | 11/05/2019 |
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30th Month August 2020 | 30th Month Financial Report FY 2021 through August 2020 | 10/08/2020 |
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30th Month August 2021 | 30th Month Financial Report FY 2022 through August 2021 | 10/27/2021 |
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30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
|
30th Month Dec 2017 | 30th Month Financial Report FY-2018 through Dec-2017 | 02/28/2018 |
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