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-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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FAA-1847A-SXLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (Spanish) | 10/01/2023 |
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AAA-1398A-S | Alzheimer's Walk (Spanish) | 10/01/2023 |
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AAA-1398A | Alzheimer's Walk | 10/01/2023 |
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FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
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FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
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DDD-1856A-S | Supported Living Planning Guide (Spanish) | 10/01/2023 |
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UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
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AAA-1351A | Non-Registered Quarterly Report | 10/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 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-1493A-S | Authorized Representative Request (Spanish) | 06/01/2023 |
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FAA-1821A | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (English) | 06/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
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FAA-1493A-LP | Nutrition Assistance Authorized Representative Request - Large Print (English) | 06/01/2023 |
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FAA-1821A-S | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Spanish) | 06/01/2023 |
|
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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