You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
FAA-1459A | Hopi Tribal TANF Referral Notice | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
FAA-1217A | Request for Verification of Godparent Specified Relative | 06/01/2023 |
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
DDD-2099A-S | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (Spanish) | 09/01/2021 |
DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
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