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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 |
|---|---|---|---|
|
CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
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GCI-1049A | No Contact Letter | 07/01/2019 |
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SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
|
DDD-1954-S | Participación en DDD | 07/01/2019 |
|
Statistical Bulletin June 2019 | Statistical Bulletin June 2019 | 07/15/2019 |
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30th Month Mar 2019 | 30th Month Financial Report FY 2019 through Mar 2019 | 07/26/2019 |
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30th Month Apr 2019 | 30th Month Financial Report FY 2019 through Apr 2019 | 07/26/2019 |
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30th Month May 2019 | 30th Month Financial Report FY 2019 through May 2019 | 07/26/2019 |
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SNA & ET State Plan 2020 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2020 | 08/01/2019 |
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UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
HRP-1017A | Request to Terminate USDA Distribution Site | 01/01/2023 |
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UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 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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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CSE-1177A | How to Make Your IV-D Child Support Payment (English/Spanish) | 06/01/2024 |
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CBC-1008A | CBC Quick Setup Guide: Certified Providers (English) | 06/01/2024 |
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CCA-1301A | Background Check Requirements for Child Care Staff (English/Spanish) | 06/01/2024 |
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DDD-2245A-S | DDD Eligibility Application Process (Spanish) | 07/01/2024 |
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ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 07/01/2024 |
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DDD-2245A | DDD Eligibility Application Process (English) | 07/01/2024 |
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GCI-1202A | Record Review Report/Prior Written Notice Technical Assistance Bulletin (English) | 07/01/2024 |
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CCA-0519A-S | Child Care Programs (Spanish) | 07/01/2024 |
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CCA-1329A | Find Quality Child Care Through CCR&R (English) | 07/01/2024 |
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GCI-1000A | Watch How I Grow (English/Spanish) | 07/01/2024 |