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Download	Number	Name	Effective Date
388.97 KB (388.97 KB)	FAA-1724A-SXLP	Páginas de Firma de la Solicitud (Letra Extra Grande)	09/01/2021
355.58 KB (355.58 KB)	FAA-1111A	Participant Statement Verification Worksheet	03/01/2020
388.93 KB (388.93 KB)	FAA-1111A-XLP	Participant Statement Verification Worksheet (Extra Large Print)	03/01/2020
337.41 KB (337.41 KB)	FAA-1111A-LP	Participant Statement Verification Worksheet (Large Print)	03/01/2020
71.5 KB (71.5 KB)	FA-020-FF	Referral for Social Security Number	06/01/2009
195.95 KB (195.95 KB)	FAA-1494A-S	Remoción de un Representante Autorizado	08/01/2019
379.68 KB (379.68 KB)	FAA-1494A-XLPS	Remoción de un Representante Autorizado (Letra Extra Grande)	08/01/2019
192.09 KB (192.09 KB)	FAA-1494A-LPS	Remoción de un Representante Autorizado (Letra Grande)	08/01/2019
566.11 KB (566.11 KB)	FAA-1362A	Request for Nutrition Assistance Replacement / Supplement	11/01/2017
295.92 KB (295.92 KB)	FAA-0574A-S	Retirar o Suspender Beneficios/Solicitud de Apelación	07/01/2019

Download	Number	Name	Effective Date
691.04 KB (691.04 KB)	30th Month February 2022	30th Month Financial Report FY 2022 through February 2022	03/29/2022
586.92 KB (586.92 KB)	30th Month January 2022	30th Month Financial Report FY 2022 through January 2022	03/02/2022
526.45 KB (526.45 KB)	30th Month July 2021	30th Month Financial Report FY 2022 through July 2021	10/27/2021
603.48 KB (603.48 KB)	30th Month March 2022	30th Month Financial Report FY 2022 through March 2022	04/28/2022
668.85 KB (668.85 KB)	30th Month November 2021	30th Month Financial Report FY 2022 through November 2021	12/27/2021
560.56 KB (560.56 KB)	30th Month October 2021	30th Month Financial Report FY 2022 through October 2021	11/30/2021
551.09 KB (551.09 KB)	30th Month September 2021	30th Month Financial Report FY 2022 through September 2021	10/27/2021
543.71 KB (543.71 KB)	30th Month Apr-2018	30th Month Financial Report FY-2018 through Apr-2018	06/06/2018
455.57 KB (455.57 KB)	30th Month Aug-2017	30th Month Financial Report FY-2018 through Aug-2017	11/07/2017
499.49 KB (499.49 KB)	30th Month Dec 2017	30th Month Financial Report FY-2018 through Dec-2017	02/28/2018

Download	Number	Name	Effective Date
143.34 KB (143.34 KB)	VR-8.9	8.9 Assessments: Vocational Evaluation	03/31/2021
159.72 KB (159.72 KB)	VR9.1	9.1 Treatments: General	03/31/2021
163.74 KB (163.74 KB)	VR9.2 Treatments: Cochlear/BAHA	9.2 Treatments: Cochlear/BAHA	03/31/2021
256.67 KB (256.67 KB)	VR9.3	9.3 Treatments: Vision	03/31/2021
149.48 KB (149.48 KB)	VR9.4	9.4 Treatments: Occupational, Physical and Speech	03/31/2021
138.61 KB (138.61 KB)	VR9.5	9.5 Treatments: Psychology/Psychiatric/Mental Health	03/31/2021
140.09 KB (140.09 KB)	VR9.6	9.6 Treatments: Dental	03/31/2021
168.25 KB (168.25 KB)	VR9.7	9.7 Treatments: Neurorehabilitation	03/31/2021
142.24 KB (142.24 KB)	VR9.8	9.8 Treatments: Medical Equipment	03/31/2021
289.46 KB (289.46 KB)	DES 1-01-12	Americans with Disabilities Act (ADA) Title II	02/05/2021

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