You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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FAA-1440A-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
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FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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FAA-1440A-SLP | Cash Assistance Benefit Limit Extension Request - Large Print (Spanish) | 06/01/2023 |
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FAA-0126A | Nutrition Assistance Frequently Asked Questions | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
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30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
Download | Number | Name | Effective Date |
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GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
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DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
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CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
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HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
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DCS-1339A-S | Solicitud de Revisión Administrativa (Incautación de Propiedad) | 06/01/2022 |
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HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
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WIO-1040A | Training Provider Assurances | 06/01/2022 |
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UIB-1258A-S | Información acerca del Trabajo Compartido para Empleados | 06/01/2022 |
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GCI-1046A | Referral Letter | 06/01/2022 |
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GCI-1046A-S | Carta de referencia | 06/01/2022 |
Download | Number | Name | Effective Date |
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DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
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DDD-1700A | Keep Your Baby Healthy | 02/01/2015 |
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PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
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PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
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DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
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AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
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Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
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AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
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