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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. 
  2. Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks. 
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Number Document Name Effective Date
FAA-1494A-XLP Authorized Representative Removal (Extra Large Print) 05/01/2023
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 05/01/2023
FAA-1725A-S Verificación de Otros Ingresos 05/01/2023
FAA-0065A-LP Verification of Living Arrangements/Residential Address - Large Print (English) 05/01/2023
FAA-1494A Authorized Representative Removal 05/01/2023
FAA-0098C-S Solicitud de Audiencia por Ajuste de Transacción EBT 05/01/2023
FAA-1765A-S Autoridad para Divulgar Información 05/01/2023
FAA-1249A Verification of Disability 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
FAA-0620A Treatment Center Change Report 05/01/2023

Number Document Name Effective Date
LCR-1007A Home Visit Report Supplement to Notice of Inspection and Due Process Rights 07/01/2019
LCR-1007A-S Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso 07/01/2019
GCI-1049A No Contact Letter 07/01/2019
CCA-0206A-S Cuestionario para la Entrevista de Certificación Inicial 07/01/2019
CCA-1260A-S Solicitud de Proveedor Suplente 07/01/2019
CCA-1261A-S Solicitud de Proveedor Certificado de Cuidado de Niños Familiar 07/01/2019
CCA-1260A Back Up Provider Application 07/01/2019
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
UB-099-Y Certification of Understanding (English / Spanish) 07/01/2019
RSA-1367A Appeal Rights 06/01/2019

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