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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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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WIO-1108A | WIOA EO Monitoring Review Guide | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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CSE-1225A | Caretakers Raising Children | 02/01/2023 |
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DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1038B | Consent for Evaluation - Prior Written Notice | 02/01/2020 |
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LCR-1033A | Life-Safety Inspection Request | 02/01/2020 |
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FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
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UB-217C | Wage Protest (English) | 01/01/2020 |
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UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
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FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
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FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
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GCI-1113A | Child Transfer Form | 10/01/2019 |
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LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
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CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
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