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-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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VR-1018A-SLP | Rehabilitación Vocacional (VR) (Letra Grande) | 09/01/2021 |
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VR-1018A-S | Rehabilitación Vocacional (VR) | 09/01/2021 |
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FAA-1841A-S | Regreso a Renovaciones Regulares de MA | 09/01/2023 |
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CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
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CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
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UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
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DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
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DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
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CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
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CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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FAA-1847A-SLP | Electronic Benefit Theft Replacement Request Form - Large Print (Spanish) | 10/01/2023 |
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FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2023 |
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