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Download Number Form Name Effective Date
GCI-1020A Authorization to Disclose Protected Health Information 08/01/2011
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 08/01/2011
GCI-1021A Individualized Family Service Plan - Packet 03/01/2019
GCI-1021A-S Plan Individualizado de Servicio Familiar - Paquete 03/01/2019
GCI-1021C Child Indicators Summary 03/01/2019
GCI-1021C-S Resumen de los Indicadores del Niño/a 03/01/2019
GCI-1021E Individualized Family Service Plan (IFSP) Transition 01/01/2019
GCI-1021E-S Plan Individualizado De Servicio Familiar (IFSP) Transición 01/01/2019
GCI-1021G-J Individualized Family Service Plan (Addendum) - Packet 12/01/2018
GCI-1021G-J-S Plan Individualizado de Servicio Familiar (Adenda) - Paquete 12/01/2018

Download Number Form Name Effective Date
2005 Child Care Report to JLBC Child Care Report to JLBC 2005 09/29/2005
2006 Child Care Report to JLBC Child Care Report to JLBC 2006 10/02/2006
2007 Child Care Report to JLBC Child Care Report to JLBC 2007 10/01/2007
2008 Child Care Report to JLBC Child Care Report to JLBC 2008 09/22/2008
2009 Child Care Report to JLBC Child Care Report to JLBC 2009 09/30/2009
2010 Child Care Report to JLBC Child Care Report to JLBC 2010 10/01/2010
2011 Child Care Report to JLBC Child Care Report to JLBC 2011 09/30/2011
2011 Homeless Lottery Funds Report 2011 Homeless Lottery Funds Report 12/27/2011
2012 Child Care Report to JLBC Child Care Report to JLBC 2012 10/09/2012
2012 Homeless Lottery Funds Report 2012 Homeless Lottery Funds Report 12/21/2012

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