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Download Number Form Name Effective Date
30th Month Nov-2011 30th Month Report November Fiscal Year 2011 01/21/2011
30th Month Nov-2012 30th Month Report November Fiscal Year 2012 01/05/2012
30th Month Nov-2014 30th Month Report November Fiscal Year 2014 01/28/2014
30th Month Nov-2015 30th Month Report November Fiscal Year 2015 02/27/2015
30th Month Nov-2016 30th Month Report November Fiscal Year 2016 01/19/2016
30th Month Nov-2016 30th Month Report November Fiscal Year 2017 02/27/2017
30th Month November 2013 30th Month Report November Fiscal Year 2013 01/15/2013
30th Month Oct 2017 30th Month Financial Report FY-2018 through Oct-2017 01/03/2018
30th Month Oct 2018 30th Month Financial Report FY-2019 through Oct-2018 12/17/2018
30th Month Oct-2010 30th Month Report October Fiscal Year 2010 10/01/2009

No results available.

Download Number Form Name Effective Date
DDD-1759A DDD Eligibility Redetermination 10/01/2019
DDD-1759A-S Redeterminación de Elegibilidad de la DDD 10/01/2019
DDD-1795APAMPD Dental Care Adult (Ages 21+) 12/01/2016
DDD-1795APAMS Cuidado Dental Adulto (Edad 21+) 12/01/2016
DDD-1807ACRD Volunteer with a Human Rights Committee (Card) 03/01/2017
DDD-1807ACRD-S Volunteer with a Human Rights Committee (Card Spanish) 03/01/2017
DDD-1807AFLY Volunteer with a Human Rights Committee (Flyer) 03/01/2017
DDD-1807AFLY-S Volunteer with a Human Rights Committee (Flyer Spanish) 03/01/2017
DDD-1836A Safety Information Fact Sheet #6 06/01/2017
DDD-1883A What is PASRR? 05/01/2018


Download Number
 		Form Name Effective Date
FAA-1701A Verification of Terminated Employment 08/01/2019
FAA-1701A-LP Verification of Terminated Employment (Large Print) 08/01/2019
FAA-1701A-XLP Verification of Terminated Employment (Extra Large Print) 08/01/2019
FAA-1724A Application Signature Pages 11/01/2019
FNS-252-2 Application for Meal Services 10/01/2017
HRP-1024A SNAP Information Brochure 11/01/2017
HRP-1044A CSFP Information Brochure 11/01/2017
HRP-1045A TEFAP Information Brochure 11/01/2017
OPE-1008A Office of Program Evaluation 09/01/2009
OPE-1008AS Office of Program Evaluation (Spanish) 09/01/2009

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