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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
FAA-0574A-LPS | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 07/01/2019 |
|
FAA-1573A | Rights and Responsibilities | 12/01/2019 |
|
FAA-1573A-XLP | Rights and Responsibilities (Extra Large Print) | 04/01/2019 |
|
FAA-1573A-LP | Rights and Responsibilities (Large Print) | 12/01/2019 |
|
FAA-1439A | Self-Employment Income Statement | 05/01/2019 |
|
FAA-1439A-XLP | Self-Employment Income Statement (Extra Large Print) | 06/01/2019 |
|
FAA-1439A-LP | Self-Employment Income Statement (Large Print) | 05/01/2019 |
|
FA-255-FF | Separate Household Status Statement | 04/01/2009 |
|
FA-255 | Separate Household Status Statement | 09/01/2018 |
|
FAA-0098A-S | Solicitud de Apelación | 12/01/2019 |
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