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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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- 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.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
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| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
|
CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
|
CCA-1200A-S | Encuesta sobre mí | 11/01/2022 |
|
CCA-1200A | About Me Questionnaire | 11/01/2022 |
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-0031A | Verbal Notice of Eligibility (Eng/Span) | 10/01/2022 |
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1140A-S | Inscripción de Depósito Directo para Centros y Hogares Comunitarios | 09/01/2022 |
|
CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes | 09/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
CCA-1211A | Request for Search of Background Checks | 05/01/2022 |
|
CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
|
CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
|
CCA-0041A | Fair Hearing Request | 11/01/2021 |
|
CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation | 09/01/2021 |
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