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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-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
FAA-0412A | Change Report (English) | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
|
FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
|
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-1366A | Eligibility Requirements | 05/01/2023 |
|
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
|
FAA-1828A | Provider Determination (English) | 08/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin October 2020 | Statistical Bulletin October 2020 | 04/11/2022 |
|
Statistical Bulletin February 2021 | Statistical Bulletin February 2021 | 04/11/2022 |
|
Statistical Bulletin June 2020 | Statistical Bulletin June 2020 | 04/11/2022 |
|
Statistical Bulletin July 2020 | Statistical Bulletin July 2020 | 04/11/2022 |
|
Statistical Bulletin August 2021 | Statistical Bulletin August 2021 | 04/11/2022 |
|
30th Month February 2022 | 30th Month Financial Report FY 2022 through February 2022 | 03/29/2022 |
|
30th Month January 2022 | 30th Month Financial Report FY 2022 through January 2022 | 03/02/2022 |
|
APS 2021 Year in Review | Adult Protective Services 2021 Year in Review | 02/28/2022 |
|
30th Month December 2021 | 30th Month Financial Report FY 2022 through December 2021 | 01/31/2022 |
|
GCBVI 2021 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2021 | 01/04/2022 |