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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
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Number Document Name Effective Date
FAA-0098C EBT Transaction Adjustment Hearing Request 05/01/2023
GCI-1041A Consent to Bill Health Insurance 05/01/2023
FAA-1004A-SLP Designation of EBT Alternate Card Holder - Large Print (Spanish) 05/01/2023
FAA-0065A-S Verification of Living Arrangements/Residential Address (Spanish) 05/01/2023
DDD-1678A Home Modifications Service Assessment (English) 05/01/2023
DDD-1622A Home Modification Requests Support Coordinator’s (SC) Checklist (English) 05/01/2023
FAA-0255A-S Afirmación De Hogares Por Separado 05/01/2023
FAA-1004A-SXLP Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) 05/01/2023
FAA-0065A-SLP Verification of Living Arrangements/Residential Address - Large Print (Spanish) 05/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) 05/01/2023

Number Document Name Effective Date
LCR-1034A Criminal History Self Disclosure Affidavit (English) 10/01/2019
LCR-1034A-S Criminal History Self Disclosure Affidavit (Spanish) 10/01/2019
RSA-1384A BEP Job-Shadowing Evaluation 09/01/2019
CSE-1007A-S Encuesta de Satisfacción del Cliente 09/01/2019
CSE-1007 Customer Satisfaction Survey 09/01/2019
DDD-1532A Hardship Reduction Request (English) 09/01/2019
DDD-1532A-S Hardship Reduction Request (Spanish) 09/01/2019
DDD-0403A Reference Request (English) 09/01/2019
RSA-1383A BEP Training - Applicant Checklist 09/01/2019
RSA-1386A BEP 8 Step Process 09/01/2019

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