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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30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 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-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
Download | Number | Name | Effective Date |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
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RSA-1382A | BEP Memo | 08/01/2022 |
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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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FAA-1828A | Provider Determination | 08/01/2022 |
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HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
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UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
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HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
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UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
Download | Number | Name | Effective Date |
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GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
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DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
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DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
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DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
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DIR-1022C | DES on the GO | 01/01/2017 |
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OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
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DIR-1022C-S | DES en Movimiento | 01/01/2017 |
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OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
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DDD-1795APAMPD | Dental Care Adult (Ages 21+) | 12/01/2016 |
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DDD-1795APAMS | Cuidado Dental Adulto (Edad 21+) | 12/01/2016 |
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