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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DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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DDD-0191A | DDD Incident Report (English) | 10/01/2023 |
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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
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CSE-1290A | Caretakers Statement Regarding Physical Custody of a Child | 10/01/2023 |
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UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (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 |
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AAA-1351A | Non-Registered Quarterly Report | 10/01/2023 |
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AAA-1350A | Caregiver Registration Form | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
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RRP-1015A | Statement of Understanding | 10/01/2023 |
Download | Number | Name | Effective Date |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
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FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
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FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
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FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
WIO-1173B | Thank You Response (SCC) | 05/01/2022 |
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APS-1000A-S | Servicios de Protección al Adulto | 05/01/2022 |
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WIO-1166A | Do's and Dont's | 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-1174A | Veterans | 05/01/2022 |
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WIO-1166B | Do's and Dont's (SCC) | 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-1174B | Veterans (SCC) | 05/01/2022 |
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APS-1000A | Adult Protective Services | 05/01/2022 |
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WIO-1167A | Interview Questions | 05/01/2022 |
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