You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
FAA-1249A | Verification of Disability | 05/01/2023 |
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
FAA-1546A-S | Sponsor Deeming Information (Spanish) | 05/01/2023 |
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
DDD-0403A | Reference Request (English) | 09/01/2019 |
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
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