You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
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CCA-1313A-S | Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo | 04/01/2023 |
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WIO-1130A | Migrant and Seasonal Farmworker Resources Wallet Card | 04/01/2023 |
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UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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LCR-1056A | Applicant Statement of Understanding for Child or Adult Developmental Home | 04/01/2023 |
test-0004 | test report | 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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CCA-1313A | Child Care Assistance for Full-Time Students | 04/01/2023 |
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UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
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LCR-1056A-S | Declaración de Entendemiento del Solicitante par Hogar de Desarrollo para Niño o Adulto | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
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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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CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
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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-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
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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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