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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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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
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Download Number Name Effective Date
FAA-1353A-S Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional 05/01/2023
FAA-1546A-S Información de Determinar a un Patrocinador 05/01/2023
FAA-1004A-SXLP Designación de Titular Sustituto para la Tarjeta de EBT (Letra Extra Grande) 05/01/2023
FAA-0574A-SLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 05/01/2023
FAA-0255A-S Afirmación De Hogares Por Separado 05/01/2023
FAA-0257A Individual Development Account Agreement 05/01/2023
FAA-0065A-XLP Verification of Living Arrangements/Residential Address (Extra Large Print) 05/01/2023
FAA-1549A Merchant Restaurant Meals Program 05/01/2023
FAA-0255A Separate Household Status Statement 05/01/2023
FAA-0259A Unwed Minor Parent Abuse/Neglect Claim 05/01/2023

Download Number Name Effective Date
FAA-1546A Sponsor Deeming Information 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
​FAA-0412A-SLP Reporte de Cambios (Letra Grande) 05/01/2023
FAA-1004A Designation of EBT Alternate Card Holder 05/01/2023
FAA-0053A Verification of New/Current Employment 05/01/2023
FAA-1768A Overpayment Compromise Request Form 05/01/2023
FAA-1546A-S Información de Determinar a un Patrocinador 05/01/2023
FAA-1249A-XLP Verification of Disability (Extra Large Print) 05/01/2023
FAA-1530A-XLP ABAWD Participation and Referral Notice (Extra Large Print) 05/01/2023
​FAA-0412A-S Reporte de Cambios 05/01/2023

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