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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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
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FAA-1493A-XLP | Authorized Representative Request - Extra Large Print (English) | 06/01/2023 |
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DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
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FAA-1493A-LP | Nutrition Assistance Authorized Representative Request - Large Print (English) | 06/01/2023 |
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WIO-1075A | Transfer of Funds Request Form | 06/01/2023 |
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FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
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FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 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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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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