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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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  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 Name Effective Date
FAA-1494A Authorized Representative Removal 05/01/2023
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 05/01/2023
​FAA-0412A-XLP ​Change Report (Extra 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-0412A-LP ​Change Report (Large Print) 05/01/2023
FAA-0620A Treatment Center Change Report 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

Download Number Name Effective Date
FAA-0574A-SLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 05/01/2023
FAA-1494A-XLP Authorized Representative Removal (Extra Large Print) 05/01/2023
​FAA-0412A-S Reporte de Cambios 05/01/2023
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
FAA-1768A Overpayment Compromise Request Form 05/01/2023
​FAA-0412A-XLP ​Change Report (Extra Large Print) 05/01/2023
FAA-1249A Verification of Disability 05/01/2023
FAA-1768A-S Formulario de Solicitud de Reducción de Pago en Exceso 05/01/2023
FAA-1506A-S Declaración de No Tener Ingresos 05/01/2023
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 05/01/2023

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