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Number | Document Name | Effective Date |
---|---|---|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
FAA-1828A | Provider Determination (English) | 08/01/2022 |
WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
FAA-0053A | Verification of New/Current Employment (English) | 10/01/2024 |
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 10/01/2024 |
FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 10/01/2024 |
FAA-0075A | Verification of School Attendance (English) | 12/01/2019 |
Number | Document Name | Effective Date |
---|---|---|
30th Month Dec-2018 | 30th Month Financial Report FY-2019 through Dec-2018 | 02/15/2019 |
30th Month Nov 2018 | 30th Month Financial Report FY-2019 through Nov-2018 | 02/15/2019 |
30th Month Oct 2018 | 30th Month Financial Report FY-2019 through Oct-2018 | 12/17/2018 |
30th Month Sep-2018 | 30th Month Financial Report FY-2019 through Sep-2018 | 12/10/2018 |
30th Month May 2024 | 30th Month Financial Report FY2024 through May 2024 | 07/12/2024 |
30th Month 13th 2014 | 30th Month Report 13th Fiscal Year 2014 | 09/15/2014 |
30th Month April 2014 | 30th Month Report April Fiscal Year 2014 | 07/09/2014 |
30th Month Apr-2015 | 30th Month Report April Fiscal Year 2015 | 07/30/2015 |
30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
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