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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
FA-060 | Authority to Release Student Information | 03/01/2018 |
|
UC-514 | Report of Changes Form | 03/01/2018 |
|
UB-092-A-S | Declaración Financiera Confidencial | 03/01/2018 |
|
DD-191 | Incident Report | 03/01/2018 |
|
CC-225 | Verification of Unable\Unavailable Status | 03/01/2018 |
|
UB-099-Y | Certificate of Understanding (Eng/Span) | 03/01/2018 |
|
UIA-1004A | Bulk Filer Application | 03/01/2018 |
|
WIO-1075A | Transfer of funds request form | 03/01/2018 |
|
CCA-1227A | Maximum Reimbursement Rates for Child Care | 03/01/2018 |
|
UB-130A | Work History | 03/01/2018 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
Annual Report on Homelessness 2016 | Annual Report on Homelessness 2016 | 09/01/2017 |
|
Statistical Bulletin July 2017 | Statistical Bulletin July 2017 | 08/14/2017 |
|
Statistical Bulletin June 2017 | Statistical Bulletin June 2017 | 07/26/2017 |
|
30th Month May-2017 | 30th Month Report May Fiscal Year 2017 | 07/14/2017 |
|
SSBG Plan 2017-2018 | Social Services Block Grant Plan 2017-2018 | 07/01/2017 |
|
30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
|
Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
|
CSA-1075A | Domestic Violence Monies Dec 2016 | 06/01/2017 |
|
2016 Homeless Lottery Funds Report | 2016 Homeless Lottery Funds Report | 06/01/2017 |
|
APS SFY 2016 | Adult Protective Services Annual Activity 2016 Report | 06/01/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
DDD-1551A-S - Tarjeta Postal | Programa de Medalla de Identificación - Tarjeta Postal | 11/01/2017 |
|
TAA-1060A | Set Your Sights High | 11/01/2017 |
|
TAA-1060A-S | Ponga su mira hacia arriba | 11/01/2017 |
|
HRP-1024A | SNAP Information Brochure | 11/01/2017 |
|
HRP-1044A | CSFP Information Brochure | 11/01/2017 |
|
PAD-465-B | Stuffer for PAD-465 -Change in Coverage of Emergency Dental Benefits | 10/01/2017 |
|
PAY-519 | Child Care Programs (FY18) | 09/01/2017 |
|
PAY-519-S | Programas de Cuidado de Niños (FY18) | 09/01/2017 |
|
DAD-1004A | [email protected] Job Center - Use it! | 09/01/2017 |
|
DAD-1004A-S | [email protected] Job Center - ¡Úselo! | 09/01/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
Draft SSBG Plan 2018-2019 | Draft Social Services Block Grant Plan 2018-2019 | 03/12/2018 |
|
DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
|
RSA-1298A | Referral Form | 03/01/2018 |
|
POF-126-S | Preguntas Frecuentes Sobre La Asistencia Nutricional | 03/01/2018 |
|
UB-113-S | Retiro de Solicitud de Salario - Combinado | 03/01/2018 |
|
DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 03/01/2018 |
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UB-126-FF | Request for Reconsideration/Appeal | 03/01/2018 |
|
CC-225 | Verification of Unable\Unavailable Status | 03/01/2018 |
|
DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
