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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
​FAA-0412A-LP ​Change Report (Large Print) 05/01/2023
FAA-1768A-S Formulario de Solicitud de Reducción de Pago en Exceso 05/01/2023
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 05/01/2023
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 05/01/2023
​FAA-0412A ​Change Report 05/01/2023
FAA-0098A Hearing Request 05/01/2023
FAA-0620A Treatment Center Change Report 05/01/2023
FAA-0574A-SXLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 05/01/2023
FAA-0098A-LP Hearing Request (Large Print) 05/01/2023
FAA-1701A Verification of Terminated Employment 05/01/2023

Download Number Name Effective Date
FAA-1494A-SXLP Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) 05/01/2023
FAA-0098A-XLP Hearing Request (Extra Large Print) 05/01/2023
FAA-0065A-LP Verification of Living Arrangements/Residential Address (Large Print) 05/01/2023
FAA-1494A Authorized Representative Removal 05/01/2023
FAA-1249A-XLP Verification of Disability (Extra Large Print) 05/01/2023
FAA-1494A-SLP Remoción de un(a) Representante Autorizado(a) (Letra Grande) 05/01/2023
FAA-0098A-SXLP Solicitud de Apelación (Letra Extra Grande) 05/01/2023
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 05/01/2023
FAA-1494A-LP Authorized Representative Removal (Large Print) 05/01/2023
FAA-1494A-S Remoción de un(a) Representante Autorizado(a) 05/01/2023

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