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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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
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EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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FAA-1724A-SXLP | Páginas de Firma de la Solicitud (Letra Extra Grande) | 07/01/2023 |
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LCR-1028A | Agency Roster of Employees | 07/01/2023 |
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CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
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FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
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FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
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GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
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LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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DDD-1747A-S | Contrato De Residencia Para Las Residencias De Vivienda Asistida (ALF) | 10/01/2022 |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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