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Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
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FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
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FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
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FAA-1828A | Provider Determination (English) | 08/01/2022 |
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WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
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FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
Download | Number | Name | Effective Date |
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|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
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FAA-0075A | Verification of School Attendance (English) | 12/01/2019 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
30th Month Sep-2018 | 30th Month Financial Report FY-2019 through Sep-2018 | 12/10/2018 |
|
30th Month May 2024 | 30th Month Financial Report FY2024 through May 2024 | 07/12/2024 |
|
30th Month 13th 2014 | 30th Month Report 13th Fiscal Year 2014 | 09/15/2014 |
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30th Month April 2014 | 30th Month Report April Fiscal Year 2014 | 07/09/2014 |
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30th Month Apr-2015 | 30th Month Report April Fiscal Year 2015 | 07/30/2015 |
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30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
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30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
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30th Month Aug-2014 | 30th Month Report August Fiscal Year 2014 | 10/30/2013 |
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30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
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30th Month Aug-2016 | 30th Month Report August Fiscal Year 2016 | 10/14/2015 |
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