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| Download | Number |
Name |
Effective Date |
|---|---|---|---|
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
FAA-1439A-LP | Self-Employment Income Statement (Large Print) | 06/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement (Extra Large Print) | 06/01/2023 |
|
FAA-1439A | Self-Employment Income Statement | 06/01/2023 |
|
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
|
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
|
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
|
FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
|
FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
|
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
|
FAA-1828A | Provider Determination | 08/01/2022 |
|
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
|
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
|
FAA-1724A-SXLP | Páginas de Firma de la Solicitud (Letra Extra Grande) | 07/01/2023 |
|
FAA-1724A-S | Páginas de Firma de la Solicitud | 07/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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