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-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
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DBS-1085A | AZ ABLE Booklet (English) | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
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DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
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DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
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CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
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FAA-1810A | Register to vote (Bilingual) | 08/01/2021 |
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DERS-1057A | Direct Service Position | 08/01/2021 |
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AAA-1344A | Direct Service Position | 08/01/2021 |
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LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
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