Scheduled Maintenance Notification
On May 19th, 2019, the login process to the EBT customer web site/portal will change from using a Card Number and PIN to using a User ID and Password. All users will have to create a User ID and Password to access the application.
Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
To request a document in an alternative format, please contact [email protected].
Find a Document
- 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.
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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
SNA-1000A-S | Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) | 09/01/2019 |
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DDD-1403F | Job Search Agreement- Individual Supported Employment Services | 05/01/2019 |
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HRP-1052A | CFSP Notice of Action | 05/01/2019 |
|
DDD-1345A | Medical Justification for Home Modifications | 05/01/2019 |
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DDD-1404E | Employment Support Aide Agreement | 05/01/2019 |
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FAA-0412A | Change Report | 05/01/2019 |
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WIO-1027A | WIOA Title IB Applicant Statement | 05/01/2019 |
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FAA-0053A-LP | Verification of New/Current Employment (Large Print) | 05/01/2019 |
|
WIO-1027A-S | Declaración Del Solicitante Para El Título IB De La WIOA | 05/01/2019 |
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FAA-0412A-S | Informe de Cambios | 05/01/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
|
Statistical Bulletin March 2019 | Statistical Bulletin March 2019 | 05/03/2019 |
|
Statistical Bulletin February 2019 | Statistical Bulletin February 2019 | 03/29/2019 |
|
30th Month Jan 2019 | 30th Month Financial Report FY 2019 through Jan 2019 | 03/21/2019 |
|
Draft SSBG Plan 2019-2020 | Draft Social Services Block Grant Plan 2019-2020 | 03/15/2019 |
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WIOA 2017 Annual Report | WIOA Annual Statewide Performance Report for Title I and Title III for PY-2017 | 03/14/2019 |
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Statistical Bulletin January 2019 | Statistical Bulletin January 2019 | 02/28/2019 |
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30th Month Nov 2018 | 30th Month Financial Report FY-2019 through Nov-2018 | 02/15/2019 |
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30th Month Dec-2018 | 30th Month Financial Report FY-2019 through Dec-2018 | 02/15/2019 |
|
CCDF Plan FFY 2019-2021 | CCDF State Plan FY2019-FY2021 | 02/08/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
WIO-1064A | Joint Guidance for Limitations on Use of Subminimum Wage | 07/26/2017 |
|
The Emergency Food Assistance Program Policy and Procedure Manual | The Emergency Food Assistance Program Policy and Procedure Manual | 05/24/2017 |
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DES 1-01-14-01 | Director's Office of Equal Opportunity Procedures: Client Complaint Process | 02/24/2017 |
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DES 1-01-14 | Office of Equal Opportunity: Client Complaints | 08/29/2016 |
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DES_1-92-03 | Tribal Government Consultation | 10/06/2014 |
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DES 1-01-34 | Limited English Proficiency | 08/08/2014 |
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DES 1-01-12 | Americans with Disabilities Act (ADA) Title II | 03/15/2013 |
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DES 1-01-12-01S | Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades | 03/15/2013 |
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DES 1-01-12S | Ley de Estadounidenses con Discapacidades - Título II | 03/15/2013 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
POX-248-S | Aviso sobre la Ley de Estadounidenses con Discapacidades | 11/01/2019 |
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CSE-1251A | Fact Sheet for Minor Parents | 05/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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PAD-465D | ALTCS Member Handbook Insert (English/Spanish) | 05/01/2019 |
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CSE-1252A | Benefits of Establishing Paternity | 04/01/2019 |
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UIT-1191A | Bulk UI Tax Rate Request Process and Information | 04/01/2019 |
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WIO-1121A | Connecting Business with Job Seekers - Services for Employers | 04/01/2019 |
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ESA-1060A | Reemployment Workforce Services | 04/01/2019 |
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FAA-1513A | Time Saving Tips | 04/01/2019 |
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ESA-1060A-S | Servicios de Reintegración Laboral | 04/01/2019 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
POX-248-S | Aviso sobre la Ley de Estadounidenses con Discapacidades | 11/01/2019 |
|
SNA-1000A-S | Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) | 09/01/2019 |
|
30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
|
Statistical Bulletin March 2019 | Statistical Bulletin March 2019 | 05/03/2019 |
|
WIO-1027A | WIOA Title IB Applicant Statement | 05/01/2019 |
|
FAA-0053A-LP | Verification of New/Current Employment (Large Print) | 05/01/2019 |
|
HRP-1052A | CFSP Notice of Action | 05/01/2019 |
|
WIO-1027A-S | Declaración Del Solicitante Para El Título IB De La WIOA | 05/01/2019 |
|
FAA-1494A-XLP | Nutrition Assistance Authorized Representative Removal (Extra Large Print) | 05/01/2019 |
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FAA-1701A-LP | Verification of Terminated Employment (Large Print) | 05/01/2019 |
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