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Download	Number	Name	Effective Date
132.6 KB (132.6 KB)	FAA-1573A-SLP	Derechos y Responsabilidades (Letra Grande)	09/01/2020
146.08 KB (146.08 KB)	FAA-1573A-SXLP	Derechos y Responsabilidades (Letra Extra Grande)	09/01/2020
186.63 KB (186.63 KB)	FAA-1573A-XLP	Rights and Responsibilities (Extra Large Print)	09/01/2020
413.24 KB (413.24 KB)	FAA-1701A	Verification of Terminated Employment	01/01/2020
295.85 KB (295.85 KB)	FAA-1701A-LP	Verification of Terminated Employment (Large Print)	01/01/2020
311.22 KB (311.22 KB)	FAA-1701A-XLP	Verification of Terminated Employment (Extra Large Print)	01/01/2020
206.12 KB (206.12 KB)	FAA-1724A	Application Signature Pages	12/01/2019
179.46 KB (179.46 KB)	FAA-1724A-LP	Application Signature Pages (Large Print)	12/01/2019
225.71 KB (225.71 KB)	FAA-1724A-S	Páginas de Firma de la Solicitud	12/01/2019
196.47 KB (196.47 KB)	FAA-1724A-SLP	áginas de Firma de la Solicitud (Large Print)	12/01/2019

Download	Number	Name	Effective Date
3.48 MB (3.48 MB)	30th Month Nov-2010	30th Month Report November Fiscal Year 2010	11/01/2009
656.35 KB (656.35 KB)	30th Month Nov-2011	30th Month Report November Fiscal Year 2011	01/21/2011
464.84 KB (464.84 KB)	30th Month Nov-2012	30th Month Report November Fiscal Year 2012	01/05/2012
543.51 KB (543.51 KB)	30th Month Nov-2014	30th Month Report November Fiscal Year 2014	01/28/2014
618.78 KB (618.78 KB)	30th Month Nov-2015	30th Month Report November Fiscal Year 2015	02/27/2015
603.93 KB (603.93 KB)	30th Month Nov-2016	30th Month Report November Fiscal Year 2017	02/27/2017
684.52 KB (684.52 KB)	30th Month Nov-2016	30th Month Report November Fiscal Year 2016	01/19/2016
469.86 KB (469.86 KB)	30th Month November 2013	30th Month Report November Fiscal Year 2013	01/15/2013
610 KB (610 KB)	30th Month November 2019	30th Month Financial Report FY 2019 through November 2019	01/07/2020
670.77 KB (670.77 KB)	30th Month November 2020	30th Month Financial Report FY 2021 through November 2020	02/26/2021

No results available.

Download	Number	Name	Effective Date
208.74 KB (208.74 KB)	DDD-1759A	DDD Eligibility Redetermination	10/01/2019
203.87 KB (203.87 KB)	DDD-1759A-S	Redeterminación de Elegibilidad de la DDD	10/01/2019
405.64 KB (405.64 KB)	DDD-1795APAMPD	Dental Care Adult (Ages 21+)	12/01/2016
701.27 KB (701.27 KB)	DDD-1795APAMS	Cuidado Dental Adulto (Edad 21+)	12/01/2016
652.64 KB (652.64 KB)	DDD-1807ACRD	Volunteer with a Human Rights Committee (Card)	03/01/2017
653.53 KB (653.53 KB)	DDD-1807ACRD-S	Volunteer with a Human Rights Committee (Card Spanish)	03/01/2017
671.33 KB (671.33 KB)	DDD-1807AFLY	Volunteer with a Human Rights Committee (Flyer)	03/01/2017
671.94 KB (671.94 KB)	DDD-1807AFLY-S	Volunteer with a Human Rights Committee (Flyer Spanish)	03/01/2017
829.44 KB (829.44 KB)	DDD-1836A	Safety Information Fact Sheet #6	06/01/2017
280.34 KB (280.34 KB)	DDD-1896A	Employment Services: Do You Want To Work?	03/01/2018

No results available.

Download	Number	Name	Effective Date
211.57 KB (211.57 KB)	FAA-1523A-S	Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo	12/01/2020
196.8 KB (196.8 KB)	FAA-1530A	ABAWD Participation and Referral Notice	04/01/2020
166.72 KB (166.72 KB)	FAA-1530A-LP	ABAWD Participation and Referral Notice (Large Print)	04/01/2020
204.6 KB (204.6 KB)	FAA-1530A-S	Aviso de Recomendación y Participación de ABAWD	04/01/2020
191.48 KB (191.48 KB)	FAA-1530A-SLP	Aviso de Recomendación y Participación de ABAWD (Letra Grande)	04/01/2020
253.6 KB (253.6 KB)	FAA-1530A-SXLP	Aviso de Recomendación y Participación de ABAWD (Letra Extra Grande)	04/01/2020
213.41 KB (213.41 KB)	FAA-1530A-XLP	ABAWD Participation and Referral Notice (Extra Large Print)	04/01/2020
802.27 KB (802.27 KB)	FAA-1533A	Verification of Unfitness for Work for Adults	07/01/2018
430.93 KB (430.93 KB)	FAA-1546A	Sponsor Deeming Information	01/01/2020
441.78 KB (441.78 KB)	FAA-1546A-S	Información de Determinar a un Patrocinador	01/01/2020