You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
DDD-2149A | Authorization to Release Records | 08/01/2022 |
FAA-1828A | Provider Determination (English) | 08/01/2022 |
HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) (English) | 07/01/2022 |
HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
DES-1024A | Request for Identity & Citizenship or Immigration Status Determination Turn-Around Document (TAD) (English) | 07/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (English/Spanish) | 06/01/2015 |
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
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