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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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| Number | Document Name | Effective Date |
|---|---|---|
| UB-101-A | Work Search Log (English / Spanish) | 04/01/2017 |
| ESA-1220A-S | Work Readiness Self-Assessment (Spanish) | 09/01/2018 |
| ESA-1220A | Work Readiness Self-Assessment (English) | 09/01/2018 |
| WOTC - How to Qualify and Participate | Work Opportunity Tax Credit-How to Qualify and Participate | 02/01/2008 |
| ESA-1332A-S | Work Opportunity Tax Credit (Spanish) | 04/01/2023 |
| ESA-1332A | Work Opportunity Tax Credit (English) | 04/01/2023 |
| UB-130A-S | Work History (Spanish) | 03/01/2018 |
| UB-130A | Work History (English) | 03/01/2018 |
| SNA-1027A | Work Focus | 11/01/2018 |
| CCA-1170AS | Withdrawal or Termination Request for Child Care Providers (Spanish) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0574A-S | Withdrawal or Stop Benefits/Appeal Request (Spanish) | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
| WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
| WIO-1027A | WIOA Title IB Applicant Statement (English) | 07/01/2024 |
| WIO-1160C | WIOA Title I-B Youth Program Eligibility Checklist (English) | 05/01/2022 |
| WIO-1160B | WIOA Title I-B Dislocated Worker Program Eligibility Checklist (English) | 05/01/2022 |
| WIO-1084A | WIOA Title I-B Adult and Dislocated Worker Incentive Approval Request Form (English) | 12/01/2018 |
| WIO-1079A | WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 (English) | 04/01/2018 |
| WIO-1108A | WIOA EO Monitoring Review Guide (English) | 02/01/2023 |
| DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
| Number | Document 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 |
| ACF-202 | TANF Caseload Reduction Report FFY2022 | 02/22/2024 |
| SNAP Plan 2024 | Supplemental Nutrition Assistance Program State Plan for FFY24 | 05/28/2024 |
| SNAP Plan 2022 | Supplemental Nutrition Assistance Program State Plan for FFY22 | 05/28/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| DCAD-ACP | Address Confidentiality Program (ACP) Policy | 03/01/2022 |
| VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
| VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
| VR-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
| VR-9.5 | 9.5 Treatments: Psychology/Psychiatric/Mental Health | 06/30/2022 |
| VR-9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
| VR-9.3 | 9.3 Treatments: Vision | 12/29/2023 |
| VR-9.2 | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
| VR-9.1 | 9.1 Treatments: General | 10/25/2024 |
| VR-8.9 | 8.9 Assessments: Vocational Evaluation | 03/31/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1883A | What is PASRR? | 02/01/2023 |
| CSE-1043A-S | What Every Parent Should Know About Establishing Paternity (Spanish) | 10/01/2019 |
| CSE-1043A | What Every Parent Should Know About Establishing Paternity (English) | 10/01/2019 |
| WIO-1194A-S | WFTC Year in Review (Spanish) | 04/01/2024 |
| RRP-1022A | Welcome Corps Resource Guide (English) | 04/01/2024 |
| GCI-1000A | Watch How I Grow (English/Spanish) | 01/01/2025 |
| DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
| DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
| DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
| RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 12/01/2020 |
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