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Download Number Form Name Effective Date
FAA-1366A Eligibility Requirements 04/01/2019
FAA-0526A Potential Overpayment (OP) Referral 04/01/2019
FA-051 Verification of Financial Accounts 04/01/2019
FAA-1573A-S Derechos y Responsabilidades (Administración de Asistencia para Familias) 04/01/2019
FAA-1573A-LP-S Derechos y Responsabilidades (Letra Grande) 04/01/2019
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-255 Separate Household Status Statement 09/01/2018

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