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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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- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-0620A | Treatment Center Change Report | 12/01/2020 |
|
FAA-1701A | Verification of Terminated Employment | 01/01/2020 |
|
FAA-0053A | Verification of New/Current Employment | 01/01/2020 |
|
FAA-0053A-XLP | Verification of New/Current Employment (Extra Large Print) | 01/01/2020 |
|
FAA-0053A-LP | Verification of New/Current Employment (Large Print) | 01/01/2020 |
|
FAA-1701A-LP | Verification of Terminated Employment (Large Print) | 01/01/2020 |
|
FAA-0177A | Claim of Good Cause (Eng/Span) | 01/01/2020 |
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 01/01/2020 |
|
FAA-1701A-XLP | Verification of Terminated Employment (Extra Large Print) | 01/01/2020 |
|
FAA-1758A | FNS Certification Flyer (English/Spanish) | 01/01/2020 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 07/01/2019 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 07/01/2019 |
|
FAA-0574A-XLPS | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 07/01/2019 |
|
FNS-252-2 | Application for Meal Services | 04/01/2019 |
|
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 12/01/2018 |
|
FAA-1565A-S | Acuerdo de Pruebas de Drogas para recibir Asistencia Nutricional | 12/01/2018 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 03/01/2018 |
|
FA-065-FFS | Verificación de Arreglos de Vivienda/Dirección Residencial | 07/01/2017 |
|
FA-020-FF | Referral for Social Security Number | 06/01/2009 |
|
FA-255-FFS | Afirmación de Hogares por Separado | 04/01/2009 |
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