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-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
DDD-1479A | Notice of Extension (English) | 06/01/2023 |
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
WIO-1075A | Transfer of Funds Request Form (English) | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
FAA-1440A-SLP | Cash Assistance Benefit Limit Extension Request - Large Print (Spanish) | 06/01/2023 |
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
DDD-2093A | DDD Behavioral Health Advocate Referral | 03/01/2021 |
DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
ESA-1338A | Language Line Translation Services Utilized | 03/01/2021 |
DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement -Large Print (Spanish) | 03/01/2021 |
DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
RSA-1396A | Secure Email Waiver | 02/01/2021 |
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