Scheduled Maintenance Notification
On May 19th, 2019, the login process to the EBT customer web site/portal will change from using a Card Number and PIN to using a User ID and Password. All users will have to create a User ID and Password to access the application.
Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
To request a document in an alternative format, please contact [email protected].
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents.
You can refine your search by selecting a category from the Filter by Category drop-down.
- Enter a keyword in the Search by Name field and click the Search button.
Click on the column headers to sort the search results.
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
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SNA-1000A-S | Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) | 09/01/2019 |
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SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
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SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
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FAA-1494A-XLP | Nutrition Assistance Authorized Representative Removal (Extra Large Print) | 05/01/2019 |
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FAA-0077A-LP | Information Request and Pending Information Agreement (Large Print) | 05/01/2019 |
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FAA-0077A-SLP | Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) | 05/01/2019 |
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DDD-1403E | Job Coach Agreement Individual Supported Employment Services | 05/01/2019 |
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FAA-0053A | Verification of New/Current Employment | 05/01/2019 |
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DDD-1403F | Job Search Agreement- Individual Supported Employment Services | 05/01/2019 |
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FAA-0412A-S | Informe de Cambios | 05/01/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
CCDF Plan FFY 2019-2021 | CCDF State Plan FY2019-FY2021 | 02/08/2019 |
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CCA Market Rate Survey 18 | Child Care Market Rate Survey 2018 | 07/01/2018 |
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2017 Child Care Report to JLBC | 2017 Child Care Report to JLBC | 10/05/2017 |
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2016 Child Care Report to JLBC | 2016 Child Care Report to JLBC | 09/29/2016 |
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Child Care and Development Fund Plan FFY 2016-2018 | Child Care and Development Fund Plan FFY 2016-2018 | 06/01/2016 |
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CCA Market Rate Survey 14 | Child Care Market Rate Survey 2014 | 12/01/2014 |
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2014 Child Care Report to JLBC | 2014 Child Care Report to JLBC | 09/18/2014 |
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2013 Child Care Report to JLBC | 2013 Child Care Report to JLBC | 10/03/2013 |
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Child Care and Development Fund Plan FFY2014-2015 | Child Care and Development Fund Plan FFY2014-2015 | 09/20/2013 |
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CCA Market Rate Survey 12 | Child Care Market Rate Survey 2012 | 12/01/2012 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
WIO-1064A | Joint Guidance for Limitations on Use of Subminimum Wage | 07/26/2017 |
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The Emergency Food Assistance Program Policy and Procedure Manual | The Emergency Food Assistance Program Policy and Procedure Manual | 05/24/2017 |
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DES 1-01-14-01 | Director's Office of Equal Opportunity Procedures: Client Complaint Process | 02/24/2017 |
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DES 1-01-14 | Office of Equal Opportunity: Client Complaints | 08/29/2016 |
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DES_1-92-03 | Tribal Government Consultation | 10/06/2014 |
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DES 1-01-34 | Limited English Proficiency | 08/08/2014 |
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DES 1-01-12-01S | Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades | 03/15/2013 |
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DES 1-01-12S | Ley de Estadounidenses con Discapacidades - Título II | 03/15/2013 |
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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 |
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CSE-1251A | Fact Sheet for Minor Parents | 05/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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PAD-465D | ALTCS Member Handbook Insert (English/Spanish) | 05/01/2019 |
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AAA-1316A | SNAP-O Partnership | 04/01/2019 |
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CSE-1252A | Benefits of Establishing Paternity | 04/01/2019 |
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UIT-1191A | Bulk UI Tax Rate Request Process and Information | 04/01/2019 |
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WIO-1121A | Connecting Business with Job Seekers - Services for Employers | 04/01/2019 |
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ESA-1060A | Reemployment Workforce Services | 04/01/2019 |
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ESA-1060A-S | Servicios de Reintegración Laboral | 04/01/2019 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
POX-248-S | Aviso sobre la Ley de Estadounidenses con Discapacidades | 11/01/2019 |
|
SNA-1000A-S | Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) | 09/01/2019 |
|
30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
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Statistical Bulletin March 2019 | Statistical Bulletin March 2019 | 05/03/2019 |
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CSE-1251A | Fact Sheet for Minor Parents | 05/01/2019 |
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DDD-1403E | Job Coach Agreement Individual Supported Employment Services | 05/01/2019 |
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DDD-1403F | Job Search Agreement- Individual Supported Employment Services | 05/01/2019 |
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FAA-1701A | Verification of Terminated Employment | 05/01/2019 |
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FAA-0412A-S | Informe de Cambios | 05/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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