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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Form Name Effective Date
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 07/01/2019
LCR-1007A-S Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso 07/01/2019
CCA-1260A Back Up Provider Application 07/01/2019
GCI-1051A Follow-Up Letter 07/01/2019
FAA-0574A-LPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 07/01/2019
FAA-1111A Participant Statement Verification Worksheet 06/01/2019
FAA-1530A-S Aviso de Recomendación y Participación de ABAWD 06/01/2019
FAA-1111A-S Hoja para Verificar la Declaración del Participante 06/01/2019
GCI-1098A AzEIP Public Awareness Materials Order Form 06/01/2019
FAA-1530A-XLP ABAWD Participation and Referral Notice (Extra Large Print) 06/01/2019

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