You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
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DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
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UIB-1266A | Tips for Completing Your Work Search Requirements (English) | 11/01/2023 |
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DDD-2249A | Age 6 Redetermination Packet (English) | 11/01/2023 |
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RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
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RSA-1437A-S | Annual American Indian Disability Summit (Spanish) | 11/01/2023 |
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UIB-1266A-S | Tips for Completing Your Work Search Requirements (Spanish) | 11/01/2023 |
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RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
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DDD-2249A-S | Age 6 Redetermination Packet (Spanish) | 11/01/2023 |
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FAA-1530A | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits (English) | 11/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
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CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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