You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0223A | Residential Pre-Move Checklist (English) | 04/01/2023 |
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CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 04/01/2023 |
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WIO-1130A | Migrant and Seasonal Farmworker Resources Wallet Card | 04/01/2023 |
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LCR-1051A-S | Permiso Para Transferir el Archivo | 04/01/2023 |
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DDD-0223A-S | Residential Pre-Move Checklist (Spanish) | 04/01/2023 |
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WIO-1130A-S | Tarjeta de bolsillo con Recursos para Trabajadores Agrícolas Migrantes y de Temporada | 04/01/2023 |
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DDD-1673A | Agency with Choice (AWC) Provider Training Request (English) | 04/01/2023 |
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EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
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AAA-1199A | SHIP/SMP Client Contact | 04/01/2023 |
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DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
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LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
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LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
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DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
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DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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CCA-0201A | Certification Statement for Providing Child Care Services | 12/01/2020 |
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CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
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CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
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DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
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