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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DDD-1590A | Monthly Invoice Cover Sheet (English) | 02/01/2018 |
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Statistical Bulletin January 2018 | Statistical Bulletin January 2018 | 02/28/2018 |
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30th Month Dec 2017 | 30th Month Financial Report FY-2018 through Dec-2017 | 02/28/2018 |
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DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
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UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
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DES-1076AS | Solicitud Para La Búsqueda En El Registro Central Con Objetivo De Verificar Antecedentes | 03/01/2018 |
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UB-113 | Combined-Wage Claim Withdrawal (English) | 03/01/2018 |
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UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 03/01/2018 |
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DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
Download | Number | Name | Effective Date |
---|---|---|---|
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UIB-0098F | Job Offer Development, Referral, Eligibility Investigation Record | 06/01/2021 |
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DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
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DDD-2106A | Member's Circles of Support | 06/01/2021 |
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DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
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UIB-0098C | Eligibility Investigation Record - WC ALT. Base Period | 06/01/2021 |
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DDD-2106A-S | Círculos de Apoyo del Miembro | 06/01/2021 |
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UIB-0098K | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
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UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
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UIB-0098M | Record of Employment | 06/01/2021 |
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UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
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