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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-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
|
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
|
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
|
FAA-0059A | Authority to Release Records | 06/01/2023 |
|
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
|
FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
|
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
|
FAA-1055A | Spread the Word | 06/01/2023 |
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
|
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
|
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
|
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |