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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
UB-130A-S | Work History (Spanish) | 03/01/2018 |
|
UB-130A | Work History (English) | 03/01/2018 |
|
SNA-1027A | Work Focus | 11/01/2018 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
|
CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
|
CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
ETA-83 | Weekly Request for Assistance | 09/01/2022 |
|
UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
|
UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
|
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
|
UB-217C | Wage Protest (English) | 01/01/2020 |
|
UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
|
AAA-1190A | Volunteer Reference Check | 09/01/2010 |
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AAA-1204A | Volunteer Performance Evaluation | 12/01/2022 |
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HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
|
AAA-1180A | Volunteer Application | 12/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
|
VR-9.3 | 9.3 Treatments: Vision | 12/29/2023 |
|
VR-9.2 | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
|
VR-9.1 | 9.1 Treatments: General | 03/31/2021 |
|
VR-8.9 | 8.9 Assessments: Vocational Evaluation | 03/31/2021 |
|
VR-8.8 | 8.8 Assessments: Vision | 03/31/2021 |
|
VR-8.7 | 8.7 Assessments: Trial Work Experience | 12/30/2022 |
|
VR-8.6 | 8.6 Assessments: Rehabilitative Services | 03/31/2021 |
|
VR-8.5 | 8.5 Assessments: Psychology/Psychiatric/Mental Health | 03/31/2021 |
|
VR-8.4 | 8.4 Assessments: Comprehensive Neurorehabilitation | 03/31/2021 |