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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test-0004 | test report | 04/01/2023 | |
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DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
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GCI-1043A-S | Informe De Evaluación Del Desarrollo | 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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UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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DDD-1673A | Agency with Choice (AWC) Provider Training Request (English) | 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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AAA-1184A | Ombudsman Designation Checklist | 04/01/2023 |
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FAA-1004A-LP | Designation of EBT Alternate Card Holder - Large Print (English) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
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GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
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AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
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ESA-1126A | Cancellation of Direct Deposit (English) | 04/01/2020 |
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ESA-1126A-S | Cancellation of Direct Deposit (Spanish) | 04/01/2020 |
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CCA-1268A | Scholarship Reimbursement Rates | 04/01/2020 |
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GCI-1115A | Acknowledgement of Child and Family Rights | 02/01/2020 |
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GCI-1115A-S | Confirmación del Folleto acerca de los Derechos del Menor y la Familia | 02/01/2020 |
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DDD-0221A-S | Spending Plan (Spanish) | 02/01/2020 |
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DDD-0221A-SLP | Spending Plan - Large Print (Spanish) | 02/01/2020 |
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