You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
CSE-1225A | Caretakers Raising Children (English) | 02/01/2023 |
CSE-1225A-S | Caretakers Raising Children (Spanish) | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
WIO-1108A | WIOA EO Monitoring Review Guide (English) | 02/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
ETA- 081A -S | Suplemento a la Solicitud para Solicitantes de DUA que Trabajan por Cuenta Propia | 04/01/2018 |
LCR-1080A | Licensing Investigation Template | 04/01/2018 |
CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
DDD-289 | Child Developmental Foster Home Agreement | 04/01/2018 |
DDD-1401A | Center Based Employment - Quarterly Report (English) | 04/01/2018 |
UB-092-A | Confidential Financial Statement (English) | 03/01/2018 |
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