|
LCR-1084A-S |
Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes |
02/01/2023 |
|
DDD-2171A |
Accounting Disclosures Tracking |
02/01/2023 |
|
DDD-2174A |
Request for Restriction of Protected Health Information (PHI) |
02/01/2023 |
|
CCA-1216A |
Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES |
02/01/2023 |
|
DDD-1580A |
Reversal Adjustment Request Cover Sheet (English) |
02/01/2023 |
|
RSA-1322A |
Pre-Employment Transition Services |
02/01/2023 |
|
DDD-2172A |
Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information |
02/01/2023 |
|
RSA-1322A-S |
Servicios de Transición Previa al Empleo |
02/01/2023 |
|
WIO-1108A |
WIOA EO Monitoring Review Guide (English) |
02/01/2023 |
|
30th Month December 2022 |
30th Month Financial Report FY 2023 through December 2022 |
01/31/2023 |