You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
AAA-1178A | Training Record | 12/01/2022 |
DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
CCA-0036A | Permission to Give Medication | 12/01/2022 |
CAP-1001A | Community Action Service Providers | 12/01/2022 |
DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
DDD-1401A | Center Based Employment - Quarterly Report (English) | 04/01/2018 |
WIO-1079A | WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 (English) | 04/01/2018 |
LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
LCR-1080A | Licensing Investigation Template | 04/01/2018 |
CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
DDD-289 | Child Developmental Foster Home Agreement | 04/01/2018 |
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