Main menu

Documents Center

Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

Find a Document

  1. 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.

  2. Enter a keyword in the Search by Name field and click the Search button. 

    Click on the column headers to sort the search results.

Download Number Form Name Effective Date
FAA-0574A-XLPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 07/01/2019
FAA-0837A Authorization to Open an IDA 08/01/2019
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1055A Spread the Word (Eng/Span) 05/01/2015
FAA-1097A Young Adult Transitional Insurance (YATI) Referral 09/01/2017
FAA-1111A Participant Statement Verification Worksheet 06/01/2019
FAA-1111A-S Hoja para Verificar la Declaración del Participante 06/01/2019
FAA-1208A Language Notification Flyer 11/01/2014
FAA-1249A Verification of Disability 07/01/2019

Download Number Form Name Effective Date
30th Month Aug-2015 30th Month Report August Fiscal Year 2015 10/27/2014
30th Month Aug-2016 30th Month Report August Fiscal Year 2016 10/14/2015
30th Month Aug-2016 30th Month Report August Fiscal Year 2017 10/27/2016
30th Month Aug-2017 30th Month Financial Report FY-2018 through Aug-2017 11/07/2017
30th Month Aug-2018 30th Month Financial Report FY-2019 through Aug-2018 12/12/2018
30th Month August 2019 30th Month Financial Report FY 2019 through August 2019 11/05/2019
30th Month Dec 2017 30th Month Financial Report FY-2018 through Dec-2017 02/28/2018
30th Month Dec-2010 30th Month Report December Fiscal Year 2010 12/01/2009
30th Month Dec-2011 30th Month Report December Fiscal Year 2011 02/11/2011
30th Month Dec-2012 30th Month Report December Fiscal Year 2012 02/15/2012

No results available.

Download Number Form Name Effective Date
CCA-1253A Choosing Quality Child Care (English/Spanish) 04/01/2019
CSE-1043A What Every Parent Should Know About Establishing Paternity 10/01/2019
CSE-1043A-S ​Lo Que Todos Los Padres Deben Saber Sobre el Establecimiento de la Paternidad 10/01/2019
CSE-1051A How to Apply for IV-D Child Support Services 06/01/2019
CSE-1051AS Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 02/01/2014
CSE-1061A Establishing Paternity 07/01/2018
CSE-1061A-S Establecer la Paternidad 07/01/2018
CSE-1084A How Much Do I Owe? 10/01/2013
CSE-1084AS ¿Cuánto Adeudo? 10/01/2013
CSE-1154A DCSS e-Employer Program 02/01/2016


Download Number
 		Form Name Effective Date
FAA-0077A-XLPS Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Extra Grande) 10/01/2019
FAA-0526A Potential Overpayment (OP) Referral 04/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 07/01/2019
FAA-0574A-LPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 07/01/2019
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 07/01/2019
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 07/01/2019
FAA-0574A-XLPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 07/01/2019
FAA-0837A Authorization to Open an IDA 08/01/2019
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018

Back to Top