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Download Number Form Name Effective Date
UB-101-A Work Search Log (Eng/Span) 04/01/2017
DDD-1790A Withdraw HCBS Certification 04/01/2017
CCA-1114A Contractor Eligibility Verification 04/01/2017
CSE-1249A Father Matters Referral 04/01/2017
CSE-1157A Non-Custodial Parent Request for Administrative Review (Eng/Span) 04/01/2017
UB-106-T Continued Claim 04/01/2017
UB-106-T-S Reclamo Continuo 04/01/2017
FA-001-U Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 03/01/2017
PAU-210-S Información acerca del Trabajo Compartido para Empleados (Shared Work Information for Employees) 03/01/2017
UIA-1043A Registration for State Information Data Exchange System (SIDES) E-Response 03/01/2017

Download Number Form Name Effective Date
Statistical Bulletin May 2008 Statistical Bulletin May 2008 05/31/2008
Annual Report 2006-2007 2006-2007 DES Annual Report 05/14/2008
Statistical Bulletin Apr 2008 Statistical Bulletin April 2008 04/01/2008
Statistical Bulletin Mar 2008 Statistical Bulletin March 2008 03/01/2008
BSC 2008 Breakthrough Series Collaborative on Service Integration Final Evaluation 02/28/2008
Statistical Bulletin Feb 2008 Statistical Bulletin Feb 2008 02/01/2008
Family Connections 2008 Family Connections Program Two-Year Evaluation Report 01/01/2008
Statistical Bulletin Jan 2008 Statistical Bulletin Jan 2008 01/01/2008
DES Welfare-2007 DES Welfare Report 2007 12/31/2007
Rehabilitation Council Annual Report 2007 Governor?s State Rehabilitation Council 2007 Annual Report 12/31/2007

No results available.

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Download Number Form Name Effective Date
CCA-1141A Direct Deposit Enrollment - DES Certified Homes/Relative Providers 05/01/2018
DDD-1883A What is PASRR? 05/01/2018
UB-296-S Informe de enfermedad o discapacidad física (Spanish) 05/01/2018
CCA-1141A-S Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES 05/01/2018
DDD-1883A-S ¿Qué es PASRR? 05/01/2018
RSA-1313A Authorization for Release of RSA Records 05/01/2018
DDD-1530A Managed Risk Assessment Service and/or Placement 05/01/2018
DDD-1405C Transition To Employment - Quality Assurance Review 05/01/2018
DDD-1402C Group Supported Employment – Quality Assurance Review 05/01/2018
RSA-1313A-S Autorización de Divulgación de Registros de RSA 05/01/2018

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