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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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
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FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
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HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
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CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
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HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
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DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
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GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
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CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
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LDU-1011A | Important Labor Dispute Information | 06/01/2022 |
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LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
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CSE-1318A | TANF child supplemental page | 06/01/2022 |
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WIO-1040A | Training Provider Assurances | 06/01/2022 |
Download | Number | Name | Effective Date |
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DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
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DDD-1627A | FACT SHEET - Advance Directives End of Life Care (Eng/Spa) | 06/01/2015 |
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DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
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DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
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DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
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DDD-1700A | Keep Your Baby Healthy | 02/01/2015 |
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AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
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PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
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PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
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DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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