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| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-1821A-S | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Spanish) | 06/01/2023 |
|
FAA-1826A-SLP | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) (Letra Grande) | 06/01/2023 |
|
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
|
FAA-1826A-LP | Nutrition Assistance (NA) Authorized Representative Request (Large Print) | 06/01/2023 |
|
FAA-1826A-XLP | Nutrition Assistance (NA) Authorized Representative Request (Extra Large Print) | 06/01/2023 |
|
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
|
FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
|
FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
|
FAA-1493A-SXLP | Solicitud de Representante Autorizado(a) (Letra Extra Grande) | 06/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
|
FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
|
FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 06/01/2023 |
|
FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
|
FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
|
FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
|
FAA-1724A | Application Signature Pages | 07/01/2023 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
|
FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
|
FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
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