You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
FAA-1775A | How Do I File a Complaint (English/Spanish) | 07/01/2023 |
CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
FAA-1492A-S | Authorized Representatives - Rights & Responsibilities (Spanish) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
CCA-1235A | CCA Change Report | 11/01/2021 |
CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
CCA-0041A | Fair Hearing Request | 11/01/2021 |
CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
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