You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1055A | Spread the Word | 06/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
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FAA-1493A-SLP | Nutrition Assistance Authorized Representative Request - Large Print (Spanish) | 06/01/2023 |
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FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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FAA-1493A-XLP | Authorized Representative Request - Extra Large Print (English) | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
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FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
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