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| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) | 06/01/2023 |
|
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
|
FAA-1523A-S | Acuerdo de responsabilidad propia (PRA) para programas de asistencia en efectivo | 06/01/2023 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
|
FAA-1493A-LP | Nutrition Assistance Authorized Representative Request (Large Print) | 06/01/2023 |
|
FAA-1439A | Self-Employment Income Statement | 06/01/2023 |
|
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
|
FAA-1439A-LP | Self-Employment Income Statement (Large Print) | 06/01/2023 |
|
FAA-1493A-SXLP | Solicitud de Representante Autorizado(a) (Letra Extra Grande) | 06/01/2023 |
|
FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Large Print) | 06/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1439A-SXLP | Declaración de Sueldo de Empleo por Cuenta Propia (Letra Extra Grande) | 06/01/2023 |
|
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request (Large Print) | 06/01/2023 |
|
FAA-1821A-SLP | Solicitud de Asistencia Nutricional Proyecto de Solicitud Simplificada para Personas de Tercera Edad (ESAP por sus siglas en inglés) (Letra Grande) | 06/01/2023 |
|
FAA-1493A-S | Solicitud de Representante Autorizado(a) | 06/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement (Extra Large Print) | 06/01/2023 |
|
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request (Extra Large Print) | 06/01/2023 |
|
FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Extra Large Print) | 06/01/2023 |
|
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
|
FAA-1821A-SXLP | Solicitud de Asistencia Nutricional Proyecto de Solicitud Simplificada para Personas de Tercera Edad (ESAP por sus siglas en inglés) (Letra Extra Grande) | 06/01/2023 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
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