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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

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Download	Number	Name	Effective Date
689.71 KB (689.71 KB)	LCR-1007A-S	Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso	07/01/2019
256.02 KB (256.02 KB)	RSA-1312A	Authorization for Disclosure of Health Information to RSA	07/01/2019
269.13 KB (269.13 KB)	RSA-1312A-S	Autorización Para Divulgación De Información De Salud a RSA	07/01/2019
212.66 KB (212.66 KB)	CCA-1186A	Authority to Release Information	07/01/2019
422.75 KB (422.75 KB)	FAA-0574A-XLP	Withdrawal or Stop Benefits/Appeal Request (Large Extra Print)	07/01/2019
176.51 KB (176.51 KB)	DDD-1622A	Home Modification Requests Support Coordinator’s (SC) Checklist	07/01/2019
1001.97 KB (1001.97 KB)	FAA-1249A-LP	Verification of Disability (Large Print)	07/01/2019
374.36 KB (374.36 KB)	FAA-0574A-XLPS	Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande)	07/01/2019
146.91 KB (146.91 KB)	GCI-1094A	Primary Caregiver Visit Log	07/01/2019
896.5 KB (896.5 KB)	CCA-0001A	Application for Child Care Assistance	08/01/2019

Download	Number	Name	Effective Date
711.58 KB (711.58 KB)	30th Month April 2020	30th Month Financial Report FY 2020 through April 2020	10/01/2020
639.23 KB (639.23 KB)	Statistical Bulletin April 2020	Statistical Bulletin April 2020	10/05/2020
670.88 KB (670.88 KB)	Statistical Bulletin May 2020	Statistical Bulletin May 2020	10/05/2020
871.48 KB (871.48 KB)	Statistical Bulletin June 2020	Statistical Bulletin June 2020	10/05/2020
660.69 KB (660.69 KB)	Statistical Bulletin July 2020	Statistical Bulletin July 2020	10/05/2020
765.9 KB (765.9 KB)	Statistical Bulletin August 2020	Statistical Bulletin August 2020	10/05/2020
641.39 KB (641.39 KB)	30th Month July 2020	30th Month Financial Report FY 2020 through July 2020	10/08/2020
653.89 KB (653.89 KB)	30th Month August 2020	30th Month Financial Report FY 2020 through August 2020	10/08/2020
467.24 KB (467.24 KB)	Statistical Bulletin September 2020	Statistical Bulletin September 2020	10/20/2020
2.13 MB (2.13 MB)	APS 2019 Year in Review	Adult Protective Services 2019 Year in Review	10/29/2020

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