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Download | Number | Form Name | Effective Date |
---|---|---|---|
|
DDD-1551A - Order Form | Medallion Program - Order Form | 10/01/2019 |
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DDD-1551A-S | Programa de Medalla de Identificación – Formulario de Pedidos | 10/01/2019 |
|
DDD-1580A | Reversal Adjustment Cover Sheet | 12/01/2014 |
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DDD-1580B | Reversal Adjustment Claims Request | 12/01/2014 |
|
DDD-1590A | Monthly Invoice Cover Sheet | 02/01/2018 |
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DDD-1620A | Home Modification Service Property Owner Authorization for Home Modifications | 09/01/2019 |
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DDD-1620A-S | Autorización del Propietario para las Adaptaciones en el Hogar mediante el Servicio de Adaptaciones en el Hogar | 09/01/2019 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist | 07/01/2019 |
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DDD-1626A | ALTCS Service Model Options (Decision Tree) | 08/01/2014 |
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DDD-1626A-S | Opciones del Modelo de Servicio del ALTCS (Árbol de decisión) | 08/01/2014 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
Five Year Strategic Plan SFY 2014 - 2018 | Five Year Strategic Plan SFY 2014 - 2018 | 12/01/2012 |
|
Five Year Strategic Plan SFY 2015 - 2019 | Five Year Strategic Plan SFY 2015 - 2019 | 12/20/2013 |
|
Five Year Strategic Plan SFY 2016 - 2020 | Five Year Strategic Plan SFY 2016 - 2020 | 12/31/2014 |
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Five Year Strategic Plan SFY 2017 - 2021 | Five Year Strategic Plan SFY 2017 - 2021 | 09/01/2015 |
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Five Year Strategic Plan SFY 2018 - 2022 | Five Year Strategic Plan SFY 2018 - 2022 | 12/29/2017 |
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Five Year Strategic Plan SFY 2019 - 2023 | Five Year Strategic Plan SFY 2019 - 2023 | 01/01/2019 |
|
FSIP August 2007 | Food Stamp Information Plan August 2007 | 08/31/2007 |
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FSIP Federal Fiscal Year 2008 | Food Stamps Information Plan Federal Fiscal Year 2008 | 08/30/2007 |
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FSIP Federal Fiscal Year 2009 | Food Stamps Information Plan Federal Fiscal Year 2009 | 08/15/2008 |
|
GCBVI 2016 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report SFY 2016 | 11/07/2016 |
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