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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
DDD-1896A Employment Services: Do You Want To Work? 03/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018
DD-099-B Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old 03/01/2018
DDD-1896A-S Servicios de Empleo de la DDD: ¿Desea Trabajar? 03/01/2018
DD-099-C Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old 03/01/2018
DDD-1651A COBV Waiver Request (English) 03/01/2018
UB-092-A Confidential Financial Statement (English) 03/01/2018
DD-099-D Pre-PAS Screening Tool for Members At Least 12 Years Old 03/01/2018
UB-092-A-S Confidential Financial Statement (Spanish) 03/01/2018
UC-514 Report of Changes Form (English) 03/01/2018

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