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-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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GCI-1032A-S | Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (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-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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AAA-1350C | Annual Follow Up | 05/01/2021 |
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CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
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DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
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DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
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DDD-1436A | Behavioral Health Professional Consultation Summary (English) | 04/01/2021 |
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TAA-1065A | Notice of Potential Trade Adjustment Assistance Eligibility | 04/01/2021 |
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UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
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UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
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