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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
CCA-1312A Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges 03/01/2023
DES-1139A-S Servicios y Programas del DES 03/01/2023
CCA-1313A-S Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo 04/01/2023
FAA-1004A-LP Designation of EBT Alternate Card Holder (Large Print) 04/01/2023
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 05/01/2023
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 05/01/2023
FAA-0259A-S Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad 05/01/2023
FAA-0574A-SLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 05/01/2023
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
FAA-0065A-S Verificación de Situación de Residencia/Dirección Residencial 05/01/2023

Download Number Name Effective Date
FAA-1004A Designation of EBT Alternate Card Holder 05/01/2023
FAA-1546A-S Información de Determinar a un Patrocinador 05/01/2023
FAA-1530A-LP ABAWD Participation and Referral Notice (Large Print) 05/01/2023
FAA-1494A-S Remoción de un(a) Representante Autorizado(a) 05/01/2023
FAA-1249A Verification of Disability 05/01/2023
FAA-0065A-XLP Verification of Living Arrangements/Residential Address (Extra Large Print) 05/01/2023
FAA-1506A-S Declaración de No Tener Ingresos 05/01/2023
FAA-1530A-SLP Recomendación y Participación a ABAWD (Letra Grande) 05/01/2023
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 05/01/2023
FAA-0065A-S Verificación de Situación de Residencia/Dirección Residencial 05/01/2023

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