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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
FA-559A | Food Distribution Program Participation | 03/01/2019 |
|
FAA-1475A | Verification of Out-Of-State Benefits | 01/01/2019 |
|
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 12/01/2018 |
|
FAA-1565A-S | Acuerdo de Pruebas de Drogas para recibir Asistencia Nutricional | 12/01/2018 |
|
FA-225-S | Afirmación De Hogares Por Separado | 09/01/2018 |
|
FA-255 | Separate Household Status Statement | 09/01/2018 |
|
FA-065-FF | Verification of Living Arrangements/Residential Address | 08/01/2018 |
|
FAA-1533A | Verification of Unfitness for Work for Adults | 07/01/2018 |
|
FAA-1004A | Designation of EBT Alternate Card Holder | 07/01/2018 |
|
FAA-1004A-S | Designación de Titular Sustituto para la Tarjeta de EBT | 07/01/2018 |
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