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Download Number Form Name Effective Date
FAA-1701A Verification of Terminated Employment 08/01/2019
FAA-1249A-LP Verification of Disability (Large Print) 07/01/2019
FAA-1249A-XLP Verification of Disability 07/01/2019
FAA-0001A Application for Benefits 07/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
FAA-0001A-S Solicitud de Beneficios 07/01/2019
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 07/01/2019
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 07/01/2019
FAA-0574A-XLPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 07/01/2019
FAA-1249A Verification of Disability 07/01/2019

Download Number Form Name Effective Date
Annual Report 2017-2018 2017-2018 DES Annual Report 12/31/2018
30th Month Oct 2018 30th Month Financial Report FY-2019 through Oct-2018 12/17/2018
Statistical Bulletin November 2018 Statistical Bulletin November 2018 12/17/2018
30th Month Aug-2018 30th Month Financial Report FY-2019 through Aug-2018 12/12/2018
30th Month Sep-2018 30th Month Financial Report FY-2019 through Sep-2018 12/10/2018
Statistical Bulletin October 2018 Statistical Bulletin October 2018 11/27/2018
GCBVI 2018 Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2018 11/21/2018
DES Welfare-2017 Annual Welfare Reform Report 2017 11/16/2018
DES Welfare-2018 Annual Welfare Reform Report 2018 11/16/2018
Statistical Bulletin September 2018 Statistical Bulletin September 2018 11/05/2018

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