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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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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FAA-0060A | Authority to Release Student Information | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
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HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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RSA-1382A | BEP Memo | 08/01/2022 |
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FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
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HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 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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HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
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HRP-1052A | CSFP Notice of Action | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
|
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
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AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
|
Register Data Security | Register for Basic Data Security | 09/27/2007 |
|
AAA-1075A | Assisted Living Residents Rights (English) | 07/01/2005 |
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