You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
|
FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
|
FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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FAA-1249A | Verification of Disability | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
|
FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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