You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
RRP-1015A-Tigrinya | Statement of Understanding (Tigrinya) | 08/01/2023 |
RSA-1463A | Windmills Disability Awareness Training (English) | 08/01/2023 |
DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
APS-1032A-S | Authorization to Release Non-HIPAA Information Form (Spanish) | 08/01/2023 |
GCI-1168A-S | Decision Tree for Child Indicator Summary Rating Discussions (Spanish) | 08/01/2023 |
DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
AAA-1240A | Disease Prevention and Health Promotion Services Quarterly Summary Report | 08/01/2023 |
RRP-1015A-French | Statement of Understanding (French) | 08/01/2023 |
DDD-1512A | Acknowledgment of Publications/Information | 08/01/2023 |
FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 08/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
BEP-1010A | Operator Out of State and Instate Travel Procedure (English) | 08/01/2022 |
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) (English) | 07/01/2022 |
DES-1024A | Request for Identity & Citizenship or Immigration Status Determination Turn-Around Document (TAD) (English) | 07/01/2022 |
UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (English/Spanish) | 06/01/2015 |
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
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