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Informes, Formularios y Políticas Administrativas

El Department of Economic Security cuenta con dos bibliotecas digitales que permiten a los usuarios buscar, informes, formularios, políticas administrativas del Departamento, así como folletos y carteles con información acerca de programas y servicios específicos.



Download Number Form Name
 		Effective Date
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 07/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
DDD-1790A Withdraw HCBS Certification 04/01/2017
WIA-1027B WIOA Title IB Eligibility Checklist 03/01/2016
WIO-1027A WIOA Title IB Applicant Statement 05/01/2019
WIO-1084A WIOA Title I-B Adult and Dislocated Worker Incentive Approval Request Form 12/01/2018
WIO-1079A WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 04/01/2018
WIA-1017A WIA Youth Program - Service Design and Program Delivery / Provider Identification 02/01/2009
WIA-1010A WIA Equal Opportunity and Discrimination Complaint Policy 07/01/2012
UB-106A Weekly Claim for Unemployment Insurance (UI) Benefits 04/01/2019



Download Number Form Name
 		Effective Date
TANF Report October 2014 TANF State Plan Effective October 1, 2014 04/17/2015
TANF State Plan Summary TANF State Plan Effective October 1, 2011 Summary 10/01/2011
TANF Report October 2011 TANF State Plan Effective October 1, 2011 02/25/2014
TANF Report 2008 TANF State Plan Effective Oct 2008 10/01/2008
TANF Report 2010 TANF State Plan Effective June 2010 06/15/2010
TANF Report 2011 TANF State Plan Effective August 2011 08/01/2011
TANF Report 2005 TANF State Plan Effective 2005 Amended February 2007 10/01/2005
SNA & ET State Plan 2019 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2019 06/01/2019
SNA & ET State Plan 2018 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2018 10/12/2017
SNA & ET State Plan 2017 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2017 10/12/2017



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