You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1847A-S | Electronic Benefit Theft Replacement Request Form (Spanish) | 10/01/2023 |
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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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RRP-1015A | Statement of Understanding | 10/01/2023 |
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FAA-1549A | Merchant Restaurant Meals Program (English) | 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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ESA-1314B-S | Notificación de Queja al Empleador | 10/01/2023 |
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AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
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DDD-1620A | Home Modification Service Property Owner Authorization for Home Modifications | 10/01/2023 |
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FAA-1847A-SLP | Electronic Benefit Theft Replacement Request Form - Large Print (Spanish) | 10/01/2023 |
|
DDD-2245A-S | The DDD Application Process (Spanish) | 10/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
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FAA-1821A-S | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Spanish) | 06/01/2023 |
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FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
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FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
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FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
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FAA-1826A-S | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) | 06/01/2023 |
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