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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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
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GCI-1034A | Records Released Log | 06/01/2022 |
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LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
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CSE-1318A | TANF child supplemental page | 06/01/2022 |
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HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
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WIO-1040A | Training Provider Assurances | 06/01/2022 |
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WIO-1160A | WIOA Title I-B Adult Worker Program Eligibility Checklist (English) | 05/01/2022 |
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WIO-1160B | WIOA Title I-B Dislocated Worker Program Eligibility Checklist (English) | 05/01/2022 |
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CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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WIO-1160C | WIOA Title I-B Youth Program Eligibility Checklist (English) | 05/01/2022 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
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DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
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DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
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DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
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DDD-1700A | Keep Your Baby Healthy | 02/01/2015 |
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PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
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PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
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DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
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AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
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