Documents Center

Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
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Number	Document Name	Effective Date
CCA-1163A	Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English)	05/01/2023
FAA-0559A	Food Distribution / Nutrition Assistance Program Participation	05/01/2023
GCI-1041A-S	Consentimiento para el Uso del Seguro de Salud	05/01/2023
FAA-1546A-S	Sponsor Deeming Information (Spanish)	05/01/2023
CCA-1163A-S	Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish)	05/01/2023
DDD-1622A	Home Modification Requests Support Coordinator’s (SC) Checklist (English)	05/01/2023
FAA-0255A-S	Afirmación De Hogares Por Separado	05/01/2023
Statistical Bulletin March 2023	Statistical Bulletin March 2023	04/21/2023
LIHEAP Plan FY23	Low-Income Home Energy Assistance Program (LIHEAP) Plan	04/19/2023
ESA-1332A	Work Opportunity Tax Credit (English)	04/01/2023

Number	Document Name	Effective Date
UIB-0098D	Eligibility Investigation Record - Administrative Penalty	09/01/2018
DES-1059A	Authorization to Release Information (English/Spanish)	09/01/2018
DDD-1749A	Support Coordinator Guide to AAC Evaluation Referrals (English)	09/01/2018
DES-1077A-S	Notice of Privacy Practices (Spanish)	09/01/2018
DES-1077A-LP	Notice of Privacy Practices - Large Print (English)	09/01/2018
DES-1077A-S-LP	Notice of Privacy Practices - Large Print (Spanish)	09/01/2018
DES-1077A	Notice of Privacy Practices (English)	09/01/2018
CCA-1161A	Self-Sufficiency Statement	09/01/2018
ESA-1220A	Work Readiness Self-Assessment (English)	09/01/2018
CCA-1161A-S	Declaración de Autosuficiencia	09/01/2018

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