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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-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
|
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
|
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
|
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
|
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
|
FAA-0059A | Authority to Release Records | 06/01/2023 |
|
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
|
FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
|
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
| 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-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 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-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
|
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |