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Reports, Forms, Pamphlets and Policies

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

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Download Number
 		Name Effective Date
FAA-0559A Food Distribution / Nutrition Assistance Program Participation 05/01/2023
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 05/01/2023
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 05/01/2023
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
FAA-0574A-SLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 05/01/2023
FAA-0574A-SXLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 05/01/2023
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 05/01/2023
FAA-0620A Treatment Center Change Report 05/01/2023
FAA-0837A Authorization to Open an IDA 06/01/2023
FAA-1004A Designation of EBT Alternate Card Holder 05/01/2023

Download Number Name Effective Date
FAA-0837A Authorization to Open an IDA 06/01/2023
FAA-1004A Designation of EBT Alternate Card Holder 05/01/2023
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 05/01/2023
FAA-1004A-SLP Designación de Titular Sustituto para la Tarjeta de EBT (Letra Grande) 05/01/2023
FAA-1004A-SXLP Designación de Titular Sustituto para la Tarjeta de EBT (Letra Extra Grande) 05/01/2023
FAA-1004A-XLP Designation of EBT Alternate Card Holder (Extra Large Print) 05/01/2023
FAA-1055A Spread the Word 06/01/2023
FAA-1097A Foster Care Age Out Referral Form 06/01/2023
FAA-1111A Participant Statement Verification Worksheet 06/01/2023
FAA-1111A-LP Participant Statement Verification Worksheet (Large Print) 06/01/2023

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