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Download	Number	Name	Effective Date
248.06 KB (248.06 KB)	FAA-0574A-LP	Withdrawal or Stop Benefits/Appeal Request (Large Print)	07/01/2019
249.96 KB (249.96 KB)	FAA-0574A-LPS	Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande)	07/01/2019
295.92 KB (295.92 KB)	FAA-0574A-S	Retirar o Suspender Beneficios/Solicitud de Apelación	07/01/2019
422.75 KB (422.75 KB)	FAA-0574A-XLP	Withdrawal or Stop Benefits/Appeal Request (Large Extra Print)	07/01/2019
374.36 KB (374.36 KB)	FAA-0574A-XLPS	Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande)	07/01/2019
370.5 KB (370.5 KB)	FAA-0620A	Treatment Center Change Report	12/01/2020
188.92 KB (188.92 KB)	FAA-0837A	Authorization to Open an IDA	08/01/2019
850.64 KB (850.64 KB)	FAA-1004A	Designation of EBT Alternate Card Holder	08/01/2021
620.42 KB (620.42 KB)	FAA-1004A-S	Designación de Titular Sustituto para la Tarjeta de EBT	08/01/2021
119.06 KB (119.06 KB)	FAA-1004A-SLP	Designación de Titular Sustituo para la Tarjeta de EBT (Letra Grande)	08/01/2021

Download	Number	Name	Effective Date
593.17 KB (593.17 KB)	30th Month April 2021	30th Month Financial Report FY 2021 through April 2021	10/27/2021
3.25 MB (3.25 MB)	30th Month Aug-2010	30th Month Report August Fiscal Year 2010	08/01/2009
328.3 KB (328.3 KB)	30th Month Aug-2011	30th Month Report August Fiscal Year 2011	10/13/2010
732.43 KB (732.43 KB)	30th Month Aug-2012	30th Month Report August Fiscal Year 2012	10/13/2011
440.73 KB (440.73 KB)	30th Month Aug-2013	30th Month Report August Fiscal Year 2013	10/16/2012
442.49 KB (442.49 KB)	30th Month Aug-2014	30th Month Report August Fiscal Year 2014	10/30/2013
584.69 KB (584.69 KB)	30th Month Aug-2015	30th Month Report August Fiscal Year 2015	10/27/2014
363.83 KB (363.83 KB)	30th Month Aug-2016	30th Month Report August Fiscal Year 2016	10/14/2015
558.34 KB (558.34 KB)	30th Month Aug-2016	30th Month Report August Fiscal Year 2017	10/27/2016
455.57 KB (455.57 KB)	30th Month Aug-2017	30th Month Financial Report FY-2018 through Aug-2017	11/07/2017

Download	Number	Name	Effective Date
187.45 KB (187.45 KB)	VR-13.4	13.4 Home Modifications	03/31/2021
166.56 KB (166.56 KB)	VR-13.5	13.5 Hearing Aids	03/31/2022
142.41 KB (142.41 KB)	VR-13.6	13.6 Bioptic Telescope	03/31/2021
162.13 KB (162.13 KB)	VR-14.1	14.1 Youth Seeking Subminimum Wage	03/31/2021
119.58 KB (119.58 KB)	VR-14.2	14.2 Individuals with Sexual Offenses	03/31/2021
156.24 KB (156.24 KB)	VR-15.1	15.1 Overview of Appeals	03/31/2021
147.32 KB (147.32 KB)	VR-15.2	15.2 Informal Review	03/31/2021
146.55 KB (146.55 KB)	VR-15.3	15.3 Mediation	03/31/2021
145.86 KB (145.86 KB)	VR-15.4	15.4 Fair Hearing	03/31/2021
138.27 KB (138.27 KB)	VR-15.5	15.5 Director Review of Fair Hearing Decisions	03/31/2021

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