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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-1701A-LP Verification of Terminated Employment (Large Print) 05/01/2023
FAA-1494A-SLP Remoción de un(a) Representante Autorizado(a) (Letra Grande) 05/01/2023
FAA-0098A Hearing Request 05/01/2023
FAA-0098A-SXLP Solicitud de Apelación (Letra Extra Grande) 05/01/2023
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 05/01/2023
FAA-1533A Verification of Unfitness for Work for Adults 05/01/2023
FAA-1004A-XLP Designation of EBT Alternate Card Holder (Extra Large Print) 05/01/2023
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 05/01/2023
FAA-1494A-S Remoción de un(a) Representante Autorizado(a) 05/01/2023
FAA-0559A Food Distribution / Nutrition Assistance Program Participation 05/01/2023

Download Number Name Effective Date
​FAA-0412A-SXLP Reporte de Cambios (Letra Extra Grande) 05/01/2023
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
FAA-1506A-S Declaración de No Tener Ingresos 05/01/2023
FAA-1533A Verification of Unfitness for Work for Adults 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
​FAA-0412A-SLP Reporte de Cambios (Letra Grande) 05/01/2023
FAA-1004A Designation of EBT Alternate Card Holder 05/01/2023
FAA-0051A Verification of Financial Accounts 05/01/2023
FAA-1546A Sponsor Deeming Information 05/01/2023
FAA-1249A-XLP Verification of Disability (Extra Large Print) 05/01/2023

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