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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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
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CSE-1158A | Request for Review of Arrears (English) | 10/01/2023 |
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DDD-1856A-S | Supported Living Planning Guide (Spanish) | 10/01/2023 |
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CSE-1290A | Caretakers Statement Regarding Physical Custody of a Child | 10/01/2023 |
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ESA-1314B-S | Notificación de Queja al Empleador | 10/01/2023 |
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FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
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CSE-1158A-S | Request for Review of Arrears (Spanish) | 10/01/2023 |
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DDD-1856A-SLP | Supported Living Planning Guide - Large Print (Spanish) | 10/01/2023 |
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CSE-1290A-S | Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores | 10/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 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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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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FAA-1366A | Eligibility Requirements | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
WIO-1164B | Background Questions (SCC) | 05/01/2022 |
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APS-1000A-S | Servicios de Protección al Adulto | 05/01/2022 |
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WIO-1173B | Thank You Response (SCC) | 05/01/2022 |
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CCA-1275A | Preschool Suspension and Expulsion Support for Families (English) | 05/01/2022 |
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WIO-1166A | Do's and Dont's | 05/01/2022 |
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WIO-1174A | Veterans | 05/01/2022 |
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CCA-1275A-S | Preschool Suspension and Expulsion Support for Families (Spanish) | 05/01/2022 |
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WIO-1166B | Do's and Dont's (SCC) | 05/01/2022 |
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APS-1000A | Adult Protective Services | 05/01/2022 |
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WIO-1174B | Veterans (SCC) | 05/01/2022 |
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