You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
FAA-1529A | Verification of Volunteers Hours | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-1217A | Request for Verification of Godparent Specified Relative | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
RSA-1298A-S-LP | Referral Form - Large Print (Spanish) | 02/01/2021 |
DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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