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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
RRP-1015A-Pashto | Statement of Understanding (Pashto) | 08/01/2023 |
|
RRP-1015A-Kirundi | Statement of Understanding (Kirundi) | 08/01/2023 |
|
RRP-1015A-Kinyarwanda | Statement of Understanding (Kinyarwanda) | 08/01/2023 |
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RRP-1015A-Kibembe | Statement of Understanding (Kibembe) | 08/01/2023 |
|
RRP-1015A-Haitian Creole | Statement of Understanding (Haitian Creole) | 08/01/2023 |
|
RRP-1015A-French | Statement of Understanding (French) | 08/01/2023 |
|
RRP-1015A-Farsi | Statement of Understanding (Farsi) | 08/01/2023 |
|
RRP-1015A-Dari | Statement of Understanding (Dari) | 08/01/2023 |
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RRP-1015A-Burmese | Statement of Understanding (Burmese) | 08/01/2023 |
|
RRP-1015A-Arabic | Statement of Understanding (Arabic) | 08/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
|
DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
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DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
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DDD-2309A | Loss of Eligibility for Exception to PRC Review (English) | 08/01/2024 |
|
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
|
UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
|
OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
|
EAP-1012A-S | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (Spanish) | 06/01/2024 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
|
30th Month October 2022 | 30th Month Financial Report FY 2023 through October 2022 | 12/02/2022 |
|
30th Month November 2022 | 30th Month Financial Report FY 2023 through November 2022 | 12/29/2022 |
|
30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
|
30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
|
30th Month June 2023 | 30th Month Financial Report FY 2023 through June 2023 | 10/05/2023 |
|
30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
|
30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
|
30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
|
30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-2116A | Community Resource Guide (English) | 02/01/2024 |
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AAA-1138A | Community Action Services | 09/01/2019 |
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CAP-1001A | Community Action Service Providers | 12/01/2022 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
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DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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CSE-1246B | Child Support Services Program Overview (Bilingual) | 02/01/2020 |
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CSE-1246A | Child Support Services Overview | 01/01/2020 |
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CSE-1312A | Child Support and Employers (Postcard) | 01/01/2020 |
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CSE-1313A | Child Support and Employers (Flyer) | 01/01/2020 |