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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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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
|
FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
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FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
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FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
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FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
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FAA-1513A | Time Saving Tips | 07/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
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FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
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FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
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FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (English) | 06/01/2023 |
|
FAA-1821A-SXLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
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FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
|
LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
| test-0004 | test report | 04/01/2023 | |
|
30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
|
SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
|
Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
|
30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
|
Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
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SPP-APR-C FFY2021 | State Performance Plan / Annual Performance Report: Part C FFY 2021 | 02/03/2023 |
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30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |