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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UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
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Statistical Bulletin December 2020 | Statistical Bulletin December 2020 | 04/11/2021 |
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DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
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CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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AAA-1350C | Annual Follow Up | 05/01/2021 |
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DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
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DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
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AAA-1350B | Family Caregiver Support Program Evaluation | 05/01/2021 |
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AAA-1283A | Adult Protective Services (APS) (English) | 05/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1530A-SLP | FAA-1530A-XLP - Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (Spanish) | 11/01/2023 |
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DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
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UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
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GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
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UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
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EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
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FAA-1530A-XLP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Extra Large Print (English) | 11/01/2023 |
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