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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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
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RRP-1015A-Swahili | Statement of Understanding (Swahili) | 08/01/2023 |
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RRP-1015A-Tigrinya | Statement of Understanding (Tigrinya) | 08/01/2023 |
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DDD-2222A | Background Check Authorization for Qualified Vendor Application (RFQVA) (English) | 08/01/2023 |
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ADDPC-2224A | Pathways to the Future: Transition Plans | 08/01/2023 |
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UC-522-FF | Adjustment Report (English) | 08/01/2023 |
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DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
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PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
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DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
Download | Number | Name | Effective Date |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
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LCR-1000A | Agency Compliance Audit Checklist | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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AAA-1402A | Conflict of Interest Statement | 12/01/2022 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
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LCR-1000C | Corrective Action Plan (Agency) | 12/01/2022 |
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EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
Download | Number | Name | Effective Date |
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WIO-1086A | Connecting People and Jobs | 07/01/2020 |
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WIO-1086A-S | Conectando a las Personas con los Trabajos | 07/01/2020 |
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POX-248 | Americans with Disabilities Act Notice | 07/01/2020 |
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POX-248-S | Aviso sobre la Ley de Estadounidenses con Discapacidades | 07/01/2020 |
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POX-248 -Arabic | Americans with Disabilities Act Notice (Arabic) | 07/01/2020 |
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POX-248 - Swahili | Americans with Disabilities Act Notice (Swahili) | 07/01/2020 |
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POX-248 - kinyarwanda | Americans with Disabilities Act Notice (Kinyarwanda) | 07/01/2020 |
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POX-248A- Arabic | Americans with Disabilities Act Grievance Notice - Lobby (Arabic) | 07/01/2020 |
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POX-248A- Swahili | Americans with Disabilities Act Grievance Notice - Lobby (Swahili) | 07/01/2020 |
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POX-248A- Kinyarwanda | Americans with Disabilities Act Grievance Notice - Lobby (Kinyarwanda) | 07/01/2020 |
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