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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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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FAA-1812A | FAA Virtual Services Flyer | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES-1059A | Authorization to Release Information | 09/01/2018 |
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DES-1077A-S | Notice of Privacy Practices (Spanish) | 09/01/2018 |
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DDD-1749A | Support Coordinator Guide to AAC Evaluation Referrals (English) | 09/01/2018 |
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CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
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CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
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UIB-0098G | Eligibility Investigation Record -Vacation, Holiday, Sick or Severance Pay | 07/01/2018 |
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CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
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CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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DDD-1727A | Direct Service Position (English) | 07/01/2018 |
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DDD-1727A-S | Direct Service Position (Spanish) | 07/01/2018 |
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