You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
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FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-1725A | Verification of Other Income | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
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CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
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HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
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CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
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WIO-1040A | Training Provider Assurances | 06/01/2022 |
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CCA-1271A | Service Consent Form (English) | 06/01/2022 |
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LDU-1011A | Important Labor Dispute Information | 06/01/2022 |
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UIB-1258A-S | Información acerca del Trabajo Compartido para Empleados | 06/01/2022 |
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DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
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CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
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LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
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Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
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AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
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Register Data Security | Register for Basic Data Security | 09/27/2007 |
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AAA-1075A | Assisted Living Residents Rights (English) | 07/01/2005 |
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