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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.

Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
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Number	Document Name	Effective Date
FAA-1819A-S	Seguridad y Prevención del Fraude de Tarjetas EBT	07/01/2023
FAA-1410A-XLP	Grant Diversion Script and Applicant Agreement - Extra Large Print (English)	07/01/2023
FAA-1513A	Time Saving Tips	07/01/2023
FAA-1410A-SXLP	Grant Diversion Script and Applicant Agreement - Extra Large Print (Spanish)	07/01/2023
FAA-1513A-S	Consejos para Ahorrar Tiempo	07/01/2023
FAA-1724A	Application Signature Pages (English)	07/01/2023
FAA-1724A-LP	Application Signature Pages - Large Print (English)	07/01/2023
FAA-1724A-XLP	Application Signature Pages - Extra Large Print (English)	07/01/2023
FAA-1513A-LP	Time Savings Tips (Large Print)	07/01/2023
FAA-1724A-S	Application Signature Pages (Spanish)	07/01/2023

Number	Document Name	Effective Date
FAA-1523A	Cash Programs Personal Responsibility Agreement (PRA) (English)	06/01/2023
FAA-1523A-S	Cash Programs Personal Responsibility Agreement (PRA) (Spanish)	06/01/2023
FAA-1439A	Self-Employment Income Statement (English)	06/01/2023
FAA-1111A	Participant Statement Verification Worksheet	06/01/2023
FAA-1111A-SXLP	Formulario para Verificar la Declaración del Participante (Letra extra grande)	06/01/2023
FAA-1111A-S	Formulario para Verificar la Declaración del Participante	06/01/2023
FAA-1111A-SLP	Formulario para Verificar la Declaración del Participante (Letra grande)	06/01/2023
FAA-1439A-S	Self-Employment Income Statement (Spanish)	06/01/2023
FAA-1439A-LP	Self-Employment Income Statement - Large Print (English)	06/01/2023
FAA-1439A-SLP	Self-Employment Income Statement - Large Print (Spanish)	06/01/2023

Number	Document Name	Effective Date
GCBVI 2022	Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2022	07/20/2023
CCA Applications & Denials Report	Child Care Assistance Applications and Denials Report	07/07/2023
30th Month May 2023	30th Month Financial Report FY 2023 through May 2023	06/28/2023
Statistical Bulletin May 2023	Statistical Bulletin May 2023	06/22/2023
30th Month April 2023	30th Month Financial Report FY 2023 through April 2023	06/01/2023
Statistical Bulletin April 2023	Statistical Bulletin April 2023	05/17/2023
LIHWAP FY23	Low Income Household Water Assistance Program (LIHWAP) Plan	05/12/2023
SSBG Plan 2023-2024	Draft SSBG Plan 2023-2024	05/08/2023
30th Month March 2023	30th Month Financial Report FY 2023 through March 2023	05/02/2023
Statistical Bulletin March 2023	Statistical Bulletin March 2023	04/21/2023

Number	Document Name	Effective Date
VR-9.2	9.2 Treatments: Cochlear/BAHA	03/31/2021
VR-7.4	7.4 Procurement of Services and Exceptions	03/31/2021
VR-12.3	12.3 Reader Services	03/31/2021
VR-7.5	7.5 Policy Exceptions to Allowable Services	03/31/2021
VR-9.4	9.4 Treatments: Occupational, Physical and Speech	03/31/2021
VR-12.4	12.4 Interpreting Services	03/31/2021
VR-2.6	2.6 Duty to Report Abuse of a Minor	03/31/2021
VR-12.5	12.5 Personal Assistance Services	03/31/2021
VR-16.1	16.1 Service Provider Requirements	03/31/2021
VR-2.7	2.7 Voter Registration	03/31/2021

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