Documents Center
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 |
|---|---|---|---|
|
RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
|
PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
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PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
|
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
|
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
|
RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
|
RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
|
DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
|
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
|
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
|
CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
|
LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
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DDD-1370A-S | Información Sobre el Menor | 07/01/2018 |
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LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
GCI-1043A-S | Informe De Evaluación Del Desarrollo | 04/01/2023 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-1018A | Vocational Rehabilitation (VR) | 09/01/2021 |
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VR-1018A-LP | Vocational Rehabilitation (VR) (Large Print) | 09/01/2021 |
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VR-1009A | Vocational Rehabilitation Client Handbook (English) | 08/01/2024 |
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VR-1009A-S | Vocational Rehabilitation Client Handbook (Spanish) | 08/01/2024 |
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VR-1009A-LP | Vocational Rehabilitation Client Handbook - Large Print (English) | 08/01/2024 |
|
VR-1009A-SLP | Vocational Rehabilitation Client Handbook-Large Print (Spanish) | 08/01/2024 |
|
VR-1001A | Vocational Rehabilitation Roadmap | 01/01/2020 |
|
RSA-1242A | Vocational Rehabilitation Transition | 12/01/2020 |
|
RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 12/01/2020 |
|
DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |