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Download Number Form Name Effective Date
UB-192-S Employment Listing (Spanish) 05/01/2016
UB-194-FF Employer Verification or Requalifying Earnings 05/01/2016
CCA-1207A Notice of Monitoring Rights 05/01/2016
UIA-1029A Application for Transient Lodging Seasonal Employment Status 04/01/2016
CCA-1200A Best of Care 04/01/2016
CCA-1204A-S Aviso de Expulsión del Cuidado de Niños 04/01/2016
GCI-1050B Prior Written Notice (Accessible) 04/01/2016
GCI-1088B Child and Family Assessment Guide for Families (Accessible) 04/01/2016
GCI-1050BS Notificación Previa Por Escrito (Accessible) 04/01/2016
GCI-1038B Consent for Evaluation - Prior Written Notice (Accessible) 04/01/2016

Download Number Form Name Effective Date
DES Welfare-2005 DES Welfare Report 2005 12/31/2005
Annual Report on Homelessness 2005 14th Annual Report on Homelessness December 2005 12/01/2005
TANF Report 2005 TANF State Plan Effective 2005 Amended February 2007 10/01/2005
2005 Child Care Report to JLBC Child Care Report to JLBC 2005 09/29/2005
Family Support Program 2006 DDD Family Support Program Annual Report 2006 07/01/2005
Will Anyone Care April 2005 Will Anyone Care April 2005 04/01/2005
Annual Report 2003-2004 2003-2004 DES Annual Report 01/27/2005
DES Welfare-2004 DES Welfare Report 2004 12/31/2004
Annual Report on Homelessness 2004 13th Annual Report on Homelessness December 2004 12/01/2004
CCA Market Rate Survey 04 Child Care Market Rate Survey 2004 12/01/2004

No results available.

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Download Number Form Name Effective Date
30th Month Nov 2017 30th Month Financial Report FY-2018 through Nov-2017 01/30/2018
Tribal Consultation Report 2017 Tribal Consultation Report 2017 01/18/2018
30th Month Oct 2017 30th Month Financial Report FY-2018 through Oct-2017 01/03/2018
ESA-1299A Request for Conditional Access Into the Agricultural Recruitment System 01/01/2018
ESA-1303A Job Order 01/01/2018
WIO-1061A Training Provider Monitoring Tool 01/01/2018
WIO-1061B Training Program Monitoring Tool 01/01/2018
TANF-WVP 2018 Temporary Assistance for Needy Families (TANF) Work Verification Plan 2018 01/01/2018
PPP-1127A-S Authorización Para Divulgación de la Información Protegida de Salud 01/01/2018
PPP-1127A Authorization for Disclosure of Protected Health Information 01/01/2018

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