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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 Form Name Effective Date
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-0837A Authorization to Open an IDA 08/01/2019
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1055A Spread the Word (Eng/Span) 05/01/2015
FAA-1097A Young Adult Transitional Insurance (YATI) Referral 09/01/2017
FAA-1111A Participant Statement Verification Worksheet 12/01/2019
FAA-1111A-LP Participant Statement Verification Worksheet (Large Print) 12/01/2019
FAA-1111A-S Hoja para Verificar la Declaración del Participante 12/01/2019

Download Number Form Name Effective Date
30th Month Aug-2014 30th Month Report August Fiscal Year 2014 10/30/2013
30th Month Aug-2015 30th Month Report August Fiscal Year 2015 10/27/2014
30th Month Aug-2016 30th Month Report August Fiscal Year 2017 10/27/2016
30th Month Aug-2016 30th Month Report August Fiscal Year 2016 10/14/2015
30th Month Aug-2017 30th Month Financial Report FY-2018 through Aug-2017 11/07/2017
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
30th Month Dec 2017 30th Month Financial Report FY-2018 through Dec-2017 02/28/2018
30th Month Dec-2010 30th Month Report December Fiscal Year 2010 12/01/2009
30th Month Dec-2011 30th Month Report December Fiscal Year 2011 02/11/2011

No results available.

Download Number Form Name Effective Date
CCA-1230A-S Evitar la lista de espera para el cuidado de niños 07/01/2019
CCA-1251A Start or Grow you Child Care Business 10/01/2019
CCA-1253A Choosing Quality Child Care (English/Spanish) 04/01/2019
CSE-1043A What Every Parent Should Know About Establishing Paternity 10/01/2019
CSE-1043A-S ​Lo Que Todos Los Padres Deben Saber Sobre el Establecimiento de la Paternidad 10/01/2019
CSE-1051A How to Apply for IV-D Child Support Services 02/01/2020
CSE-1051A-S Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 02/01/2020
CSE-1061A Establishing Paternity 07/01/2018
CSE-1061A-S Establecer la Paternidad 07/01/2018
CSE-1084A How Much Do I Owe? 10/01/2013


Download Number
 		Form Name Effective Date
FAA-0177A Claim of Good Cause (Eng/Span) 01/01/2020
FAA-0257A Individual Development Account Agreement 12/01/2019
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

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