Documents Center

Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

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.
You can click on the column headers to sort the search results.

Number	Document Name	Effective Date
FAA-1839A	MyFamilyBenefits Postcard (English/Spanish)	06/01/2023
FAA-0001U	Notice of Non-Discrimination/Aviso De No Discriminación AH-1000	02/01/2023
FAA-1768A	Overpayment Compromise Request Form (English)	05/01/2023
FAA-1768A-S	Overpayment Compromise Request Form (Spanish)	05/01/2023
FAA-1111A	Participant Statement Verification Worksheet	06/01/2023
FAA-1111A-XLP	Participant Statement Verification Worksheet (Extra Large Print)	06/01/2023
FAA-1111A-LP	Participant Statement Verification Worksheet (Large Print)	06/01/2023
FAA-1439A	Self-Employment Income Statement (English)	06/01/2023
FAA-1439A-S	Self-Employment Income Statement (Spanish)	06/01/2023
FAA-1439A-XLP	Self-Employment Income Statement - Extra Large Print (English)	06/01/2023

Number	Document Name	Effective Date
FAA-1439A-SLP	Self-Employment Income Statement - Large Print (Spanish)	06/01/2023
FAA-1546A	Sponsor Deeming Information (English)	05/01/2023
FAA-1546A-S	Sponsor Deeming Information (Spanish)	05/01/2023
FAA-1055A	Spread the Word (English)	03/01/2025
FAA-1506A	Statement of No Income (English)	05/01/2023
FAA-1506A-S	Statement of No Income (Spanish)	05/01/2023
FAA-0620A	Treatment Center Change Report	05/01/2023
FAA-1442A	Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información	12/01/2019
FAA-0259A	Unwed Minor Parent Abuse/Neglect Claim	05/01/2023
FA-065-FFS	Verificación de Arreglos de Vivienda/Dirección Residencial	07/01/2017

Number	Document Name	Effective Date
30th Month July 2020	30th Month Financial Report FY 2021 through July 2020	10/08/2020
30th Month June 2021	30th Month Financial Report FY 2021 through June 2021	10/27/2021
30th Month March 2021	30th Month Financial Report FY 2021 through March 2021	10/27/2021
30th Month May 2021	30th Month Financial Report FY 2021 through May 2021	10/27/2021
30th Month November 2020	30th Month Financial Report FY 2021 through November 2020	02/26/2021
30th Month October 2020	30th Month Financial Report FY 2021 through October 2020	02/26/2021
30th Month September 2020	30th Month Financial Report FY 2021 through September 2020	02/26/2021
30th Month April 2022	30th Month Financial Report FY 2022 through April 2022	06/02/2022
30th Month August 2021	30th Month Financial Report FY 2022 through August 2021	10/27/2021
30th Month December 2021	30th Month Financial Report FY 2022 through December 2021	01/31/2022

No results available.