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-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
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LCR-1056A-S | Declaración de Entendemiento del Solicitante par Hogar de Desarrollo para Niño o Adulto | 04/01/2023 |
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AAA-1199A | SHIP/SMP Client Contact | 04/01/2023 |
Download | Number | Name | Effective Date |
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DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
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LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
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CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
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CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
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LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
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DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
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DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
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CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
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DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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