You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
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CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers | 07/01/2023 |
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FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
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LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
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DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
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GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
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FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
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FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
Download | Number | Name | Effective Date |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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WIO-1108A | WIOA EO Monitoring Review Guide | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
Download | Number | Name | Effective Date |
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CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
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CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
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DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
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DDD-2082A | Report Suspected Abuse, Neglect or Exploitation | 09/01/2020 |
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DDD-2082A-S | Reportando Sospechas de Abuso, Negligencia, o Explotación | 09/01/2020 |
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ESA-1357A | Migrant and Seasonal Farmworker (MSFW) Recall Program | 08/01/2020 |
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PPP-1122B | Limited English Proficiency (LEP) Flyer | 08/01/2020 |
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PPP-1122A | Limited English Proficiency (LEP) Poster (English) | 08/01/2020 |
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WIO-1121A | Connecting Business with Job Seekers | 08/01/2020 |
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POX-248 | Americans with Disabilities Act Notice | 07/01/2020 |
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