Documents Center
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 |
|---|---|---|---|
|
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
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GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
|
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
|
DES-1059A | Authorization to Release Information (English/Spanish) | 09/01/2018 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (English) | 08/01/2024 |
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RSA-1365A-S | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (Spanish) | 08/01/2024 |
|
RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA - Large Print (English) | 08/01/2024 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
|
UC-010-FF | Installment Payment Agreement | 08/01/2017 |
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RSA-BP1540 | Inventory Form | 06/07/2015 |
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GCI-1032A-S | Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito | 05/01/2023 |
| DDD-1270A | ISP Checklist (English) | 05/01/2007 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
RSA-1242A | Vocational Rehabilitation Transition | 12/01/2020 |
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RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 12/01/2020 |
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DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
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DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
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DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
|
GCI-1000A | Watch How I Grow (English/Spanish) | 07/01/2024 |
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RRP-1022A | Welcome Corps Resource Guide (English) | 04/01/2024 |
|
WIO-1194A-S | WFTC Year in Review (Spanish) | 04/01/2024 |
|
CSE-1043A | What Every Parent Should Know About Establishing Paternity | 10/01/2019 |
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DDD-1883A | What is PASRR? | 02/01/2023 |