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Download Number Form Name Effective Date
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
FAA-1546A Sponsor Deeming Information 08/01/2016
FAA-1546A-S Información de Determinar a un Protrocinador 08/01/2016
FAA-1549A Merchant Restaurant Meals Program 10/01/2019
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-1573A Rights and Responsibilities 12/01/2019
FAA-1573A-LP Rights and Responsibilities (Large Print) 12/01/2019
FAA-1573A-LP-S Derechos y Responsabilidades (Letra Grande) 04/01/2019
FAA-1573A-S Derechos y Responsabilidades (Administración de Asistencia para Familias) 04/01/2019

Download Number Form Name Effective Date
30th Month Mar-2012 30th Month Report March Fiscal Year 2012 05/17/2012
30th Month Mar-2015 30th Month Report March Fiscal Year 2015 07/30/2015
30th Month Mar-2016 30th Month Report March Fiscal Year 2016 06/07/2016
30th Month Mar-2017 30th Month Report March Fiscal Year 2017 05/16/2017
30th Month Mar-2018 30th Month Financial Report FY-2018 through Mar-2018 05/04/2018
30th Month March 2013 30th Month Report March Fiscal Year 2013 05/09/2013
30th Month March 2014 30th Month Report March Fiscal Year 2014 05/19/2014
30th Month May 2013 30th Month Report May Fiscal Year 2013 07/08/2013
30th Month May 2014 30th Month Report May Fiscal Year 2014 07/10/2014
30th Month May 2019 30th Month Financial Report FY 2019 through May 2019 07/26/2019

No results available.

Download Number Form Name Effective Date
DDD-1694A-S Colocación fuera del hogar para menores 07/01/2019
DDD-1698A Dental Care Ages Birth-21 04/01/2015
DDD-1698A-S Cuidado dental Edades Nacimiento - 21 04/01/2015
DDD-1700A Keep Your Baby Healthy 02/01/2015
DDD-1700A-S Keep Your Baby Healthy (Spanish) 08/14/2017
DDD-1701A Keep Your Teenager Healthy 04/01/2015
DDD-1701A-S Mantenga a su joven sano 04/01/2015
DDD-1713A DDD Customer Service Center 07/01/2019
DDD-1713A-S Centro de Servicio al cliente de la DDD 07/01/2019
DDD-1717A Hot Topics - Heat Hazards 05/01/2015


Download Number
 		Form Name Effective Date
FAA-1494A-LPS Remoción de un Representante Autorizado (Letra Grande) 08/01/2019
FAA-1494A-S Remoción de un Representante Autorizado 08/01/2019
FAA-1494A-XLP Authorized Representative Removal (Extra Large Print) 08/01/2019
FAA-1494A-XLPS Remoción de un Representante Autorizado (Letra Extra Grande) 08/01/2019
FAA-1506A Customer Statement of No Income 11/01/2017
FAA-1506A-S Declaración del Cliente de Que No Tiene Ingresos 11/01/2017
FAA-1513A Time Saving Tips 04/01/2019
FAA-1513A-S Consejos para Ahorrar Tiempo 07/01/2018
FAA-1530A ABAWD Participation and Referral Notice 06/01/2019
FAA-1530A-LP ABAWD Participation and Referral Notice (Large Print) 06/01/2019

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