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Download Number Form Name Effective Date
CC-024A Employment and Wage Verification Statement 10/01/2018
CC-024A-S Declaración de Verificación de Sueldo y Empleo 10/01/2018
CC-228 Self-Employment Budget Record 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
CCA-1161A Self-Sufficiency Statement 09/01/2018
CCA-1161A-S Declaración de Autosuficiencia 09/01/2018
CC-001A Child Care Assistance Rights and Responsibilities 08/01/2018
CC-001A-S Derechos y Responsabilidades de la Asistencia para Cuidado de Niños 08/01/2018
CC-229 (FY19) Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) 08/01/2018
CCA-1116A Child Care Assistance Priority Waiting List Income Table 08/01/2018

Download Number Form Name Effective Date
30th Month Feb 2019 30th Month Financial Report FY 2019 through Feb 2019 05/13/2019
Statistical Bulletin March 2019 Statistical Bulletin March 2019 05/03/2019
Statistical Bulletin February 2019 Statistical Bulletin February 2019 03/29/2019
30th Month Jan 2019 30th Month Financial Report FY 2019 through Jan 2019 03/21/2019
Draft SSBG Plan 2019-2020 Draft Social Services Block Grant Plan 2019-2020 03/15/2019
WIOA 2017 Annual Report WIOA Annual Statewide Performance Report for Title I and Title III for PY-2017 03/14/2019
Statistical Bulletin January 2019 Statistical Bulletin January 2019 02/28/2019
30th Month Nov 2018 30th Month Financial Report FY-2019 through Nov-2018 02/15/2019
30th Month Dec-2018 30th Month Financial Report FY-2019 through Dec-2018 02/15/2019
CCDF Plan FFY 2019-2021 CCDF State Plan FY2019-FY2021 02/08/2019

Download Number Form Name Effective Date
WIO-1064A Joint Guidance for Limitations on Use of Subminimum Wage 07/26/2017
The Emergency Food Assistance Program Policy and Procedure Manual The Emergency Food Assistance Program Policy and Procedure Manual 05/24/2017
DES 1-01-14-01 Director's Office of Equal Opportunity Procedures: Client Complaint Process 02/24/2017
DES 1-01-14 Office of Equal Opportunity: Client Complaints 08/29/2016
DES_1-92-03 Tribal Government Consultation 10/06/2014
DES 1-01-34 Limited English Proficiency 08/08/2014
DES 1-01-12-01S Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades 03/15/2013
DES 1-01-12S Ley de Estadounidenses con Discapacidades - Título II 03/15/2013
DES 1-01-12 Americans with Disabilities Act (ADA) Title II 03/15/2013

Download Number Form Name Effective Date
POX-248-S Aviso sobre la Ley de Estadounidenses con Discapacidades 11/01/2019
CSE-1251A Fact Sheet for Minor Parents 05/01/2019
AAA-1324A Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing 05/01/2019
PAD-465D ALTCS Member Handbook Insert (English/Spanish) 05/01/2019
AAA-1316A SNAP-O Partnership 04/01/2019
CSE-1252A Benefits of Establishing Paternity 04/01/2019
UIT-1191A Bulk UI Tax Rate Request Process and Information 04/01/2019
WIO-1121A Connecting Business with Job Seekers - Services for Employers 04/01/2019
FAA-1513A Time Saving Tips 04/01/2019
ESA-1060A Reemployment Workforce Services 04/01/2019


Download Number Form Name Effective Date
PAY-519 Child Care Programs (FY19) 04/01/2019
PAY-519-S Programas de Cuidado de Niños (FY19) 04/01/2019
DES-1139A Services by DES 03/28/2019
CCDF Plan FFY 2019-2021 CCDF State Plan FY2019-FY2021 02/08/2019
CC-228 Self-Employment Budget Record 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
CC-024A-S Declaración de Verificación de Sueldo y Empleo 10/01/2018
CC-024A Employment and Wage Verification Statement 10/01/2018
CCA-1161A-S Declaración de Autosuficiencia 09/01/2018
CCA-1161A Self-Sufficiency Statement 09/01/2018

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