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Download	Number	Name	Effective Date
311.22 KB (311.22 KB)	FAA-1701A-XLP	Verification of Terminated Employment (Extra Large Print)	01/01/2020
413.24 KB (413.24 KB)	FAA-1701A	Verification of Terminated Employment	01/01/2020
159.88 KB (159.88 KB)	FAA-1148A	Medical Incapacity Statement (Hospitalized Applicant)	01/01/2020
519.54 KB (519.54 KB)	FAA-0053A-XLP	Verification of New/Current Employment (Extra Large Print)	01/01/2020
520.65 KB (520.65 KB)	FAA-0053A-LP	Verification of New/Current Employment (Large Print)	01/01/2020
180.53 KB (180.53 KB)	FAA-1410A-XLP	Grant Diversion Script and Applicant Agreement (Extra Large Print)	12/01/2019
251.48 KB (251.48 KB)	FAA-0051A	Verification of Financial Accounts	12/01/2019
172.42 KB (172.42 KB)	FAA-1410A-XLPS	Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande)	12/01/2019
224.45 KB (224.45 KB)	FAA-1442A	Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información	12/01/2019
206.12 KB (206.12 KB)	FAA-1724A	Application Signature Pages	12/01/2019

Download	Number	Name	Effective Date
2.02 MB (2.02 MB)	SSBG Plan 2020-2021	Social Services Block Grant Plan 2020-2021	07/01/2020
1.29 MB (1.29 MB)	CCDF Plan FFY 2019-2021 Amendment 2	CCDF State Plan FY2019-FY2021 Amendment 2	06/15/2020
714.96 KB (714.96 KB)	30th Month March 2020	30th Month Financial Report FY 2020 through March 2020	06/05/2020
704.2 KB (704.2 KB)	30th Month February 2020	30th Month Financial Report FY 2020 through February 2020	04/23/2020
455.4 KB (455.4 KB)	Statistical Bulletin March 2020	Statistical Bulletin March 2020	04/15/2020
568.54 KB (568.54 KB)	Statistical Bulletin February 2020	Statistical Bulletin February 2020	03/31/2020
652.73 KB (652.73 KB)	30th Month January 2020	30th Month Financial Report FY 2020 through January 2020	03/19/2020
816.28 KB (816.28 KB)	SFMNP-WIC-FMNP	Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual	03/03/2020
3.81 MB (3.81 MB)	SFMNP-WIC-FMNP CSPG	Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Consolidated State Plan Guidance	03/02/2020
564.6 KB (564.6 KB)	Statistical Bulletin January 2020	Statistical Bulletin January 2020	02/28/2020

Download	Number	Name	Effective Date
168.12 KB (168.12 KB)	VR-13.3	13.3 Vehicle Modification	03/31/2021
175.67 KB (175.67 KB)	VR-4.1	4.1 Legal Ability to Work in the US	03/31/2021
141.07 KB (141.07 KB)	VR-8.2	8.2 Assessments: Audiology/Ear, Nose & Throat (ENT)	03/31/2021
135.04 KB (135.04 KB)	VR9.7	9.7 Treatments: Neurorehabilitation	03/31/2021
144.32 KB (144.32 KB)	VR-12.7	12.7 Information and Referral	03/31/2021
102.76 KB (102.76 KB)	VR-2.12	2.12 Disability Benefits Calculator (DB101)	03/31/2021
103.3 KB (103.3 KB)	VR-4.2	4.2 Timelines for Individualized Plan for Employment (IPE) Development	03/31/2021
141.83 KB (141.83 KB)	VR-8.3	8.3 Assessments: Medical/Dental	03/31/2021
142.24 KB (142.24 KB)	VR9.8	9.8 Treatments: Medical Equipment	03/31/2021
141.82 KB (141.82 KB)	VR-12.8	12.8 Other Services	03/31/2021

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