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

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Number Document Name Effective Date
LCR-1084A Application for Renewal or Amended HCBS Certificate for Independent Providers (English) 02/01/2023
DDD-2173A Request for Amended/Correction of Protected Health Information (PHI) 02/01/2023
CSE-1225A Caretakers Raising Children (English) 02/01/2023
CSE-1225A-S Caretakers Raising Children (Spanish) 02/01/2023
CCA-1216A Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES 02/01/2023
LCR-1084A-S Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) 02/01/2023
DDD-2171A Accounting Disclosures Tracking 02/01/2023
DDD-2174A Request for Restriction of Protected Health Information (PHI) 02/01/2023
DDD-2172A Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information 02/01/2023
DDD-1580A Reversal Adjustment Request Cover Sheet (English) 02/01/2023

Number Document Name Effective Date
WIO-1079A WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 (English) 04/01/2018
LCR-1080A Licensing Investigation Template 04/01/2018
CSE-1171A Affidavit of Financial Information (English/Spanish) 04/01/2018
LCR-1080B Licensing Investigation Procedural Tool 04/01/2018
ETA- 081A -S Suplemento a la Solicitud para Solicitantes de DUA que Trabajan por Cuenta Propia 04/01/2018
DDD-281 Adult Developmental Home Agreement (English) 04/01/2018
UIT-1146A Limited Power of Attorney (English) 04/01/2018
ETA-081A Supplement to Application for DUA Self-Employed Individuals 04/01/2018
DDD-289 Child Developmental Foster Home Agreement 04/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018

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