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Download | Number |
Name |
Effective Date |
---|---|---|---|
|
FAA-0098A-S | Solicitud de Apelación | 11/01/2022 |
|
FAA-0098A-SXLP | Solicitud de Apelación (Letra Extra Grande) | 11/01/2022 |
|
FAA-0098A-SLP | Solicitud de Apelación (Letra Grande) | 11/01/2022 |
|
FAA-1821A-SXLP | Solicitud de Asistencia Nutricional Proyecto de Solicitud Simplificada para Personas de Tercera Edad (ESAP por sus siglas en inglés) (Letra Extra Grande) | 11/01/2022 |
|
FAA-1821A-SLP | Solicitud de Asistencia Nutricional Proyecto de Solicitud Simplificada para Personas de Tercera Edad (ESAP por sus siglas en inglés) (Letra Grande) | 11/01/2022 |
|
FAA-0001A-S | Solicitud de Beneficios | 03/01/2023 |
|
FAA-1493A-S | Solicitud de Representante Autorizado(a) | 09/01/2022 |
|
FAA-1493A-SXLP | Solicitud de Representante Autorizado(a) (Letra Extra Grande) | 09/01/2022 |
|
FAA-1493A-SLP | Solicitud de Representante Autorizado(a) (Letra Grande) | 09/01/2022 |
|
FAA-1826A-S | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) | 03/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1701A-LP | Verification of Terminated Employment (Large Print) | 01/01/2020 |
|
FAA-1533A | Verification of Unfitness for Work for Adults | 08/01/2021 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 07/01/2019 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 07/01/2019 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 07/01/2019 |
|
FAA-1573A | Your Rights and Responsibilities | 12/01/2022 |
|
FAA-1573A-XLP | Your Rights and Responsibilities (Extra Large Print) | 12/01/2022 |
|
FAA-1573A-LP | Your Rights and Responsibilities (Large Print) | 12/01/2022 |
|
FAA-0412A | Change Report | 12/01/2022 |
|
FAA-0412A-XLP | Change Report (Extra Large Print) | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
30th Month Aug-2012 | 30th Month Report August Fiscal Year 2012 | 10/13/2011 |
|
30th Month Aug-2013 | 30th Month Report August Fiscal Year 2013 | 10/16/2012 |
|
30th Month Aug-2014 | 30th Month Report August Fiscal Year 2014 | 10/30/2013 |
|
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 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 |
|
30th Month December 2013 | 30th Month Report December Fiscal Year 2013 | 02/14/2013 |
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