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GOMBGATU - 7002 - ADA ICR NFP TEMPLATE SIMPLIFIED VERSION CASH METHOD (.pdf)
GOMBGATU - 7003 - ADA ICR NFP TEMPLATE SIMPLIFIED VERSION ACCRUAL METHOD (.pdf)
I-9 USCIS Employment Eligibility Verification
IL444-0097 S - Comprobante de Nacimiento, Matrimonio, Divorcio o Muerte (IES) (.pdf)
IL444-0104 - CHILD CARE CENTER - APPEAL REQUEST FORM (.pdf)
IL444-1947 - Minority Seniors Report (pdf)
IL444-2606 D Regular Earnfare Referral and Attendance Record (pdf)
IL444-2648 A - THE EMERGENCY FOOD ASSISTANCE PROGRAM - REPORT OF OUT OF CONDITION USDA COMMODITIES (.pdf)
IL444-2689 - Request for Crisis Assistance (pdf)
IL444-2689 S - Petición Para Asistencia en Casos de Crisis (pdf)
IL444-2776 - WAREHOUSE CONTROL SYSTEM REQUISITION ENTRY FORM (pdf)
IL444-2839 - The SNAP Employment and Training Employability Plan (pdf)
IL444-3620 - PRIMARY CARE PHYSICIAN (PCP) NOTIFICATION FORM REPORT of HIGH RISK INFANT FOLLOW-UP PROGRAM (pdf)
IL444-4003 T - RESPONSIBILITY AND SERVICES PLAN - HEALTH (pdf)
IL444-4040 - THE EMERGENCY FOOD ASSISTANCE PROGRAM - COMMODITY LOSS REPORT & CLAIMS DECISION FORM (.pdf)
IL444-4232 - Physician's Medical Review (pdf)
IL444-4233 - Appeal of Denial of Reasonable Accommodation Request (pdf)
IL444-4280 - Instructions for Summary Expenditure Document (IL 444-4280) (pdf)
IL444-4293 - Summary Expenditure Documentation Form (pdf)
IL444-4441 - SIGNED CONTRACT AGREEMENT VERIFICATION FOR FOODBANK AGENCY SITES - DYN (pdf)
IL444-4441 S - Verificación de Acuerdo del Contrato Firmado para los Sitios de Agencias de Banco de Alimentos - DYN (pdf)
IL444-4509 - The Emergency Food Assistance Program - Monthly Service/Distribution Report (pdf)
IL444-4524 S - El Programa de Asistencia Alimentaria de Emergencia - REFERENCIA SOLICITUD DE (pdf)
IL444-4525 S EL PROGRAMA DE ASISTENCIA DE EMERGENCIA MANUAL PARA DESPENSAS DE ALIMENTOS, COMEDORES Y ALBERGUES PARA DESAMPARADOS (pdf)
IL444-4529 - SOUP KITCHEN/HOMELESS SHELTER OBSERVATION FORM (pdf)
IL444-4529 S - FORMULARIO DE OBSERVACIÓN DEL COMEDOR/ALBERQUE PARA DESAMPARADOS (.pdf)
IL444-4530 - THE EMERGENCY FOOD ASSISTANCE PROGRAM - CIVIL RIGHTS AND DISCRIMINATION COMPLAINT FORM (pdf)
IL444-4530 S - EL PROGRAMA DE ASISTENCIA ALIMENTARIA DE EMERGENCIA - FORMULARIO PARA QUEJAS POR DISCRIMINACIÓN Y DERECHOS CIVILES (.pdf)
IL444-4531 -THE EMERGENCY FOOD ASSISTANCE PROGRAM - COMMODITY COMPLAINT FORM (pdf)
IL444-4531 S - EL PROGRAMA DE ASISTENCIA ALIMENTARIA DE EMERGENCIA - FORMULARIO PARA QUEJAS SOBRE LOS PRODUCTOS O MERCANCÍA (.pdf)
IL444-4542 - THE EMERGENCY FOOD ASSISTANCE PROGRAM - FEDERALLY FUNDED EQUIPMENT INVENTORY WORKSHEET (.pdf)
IL444-4728 - Learning Needs Screening (pdf)
IL444-4960 - FIRE MARSHAL REQUEST FOR LICENSE-EXEMPT CHILD CARE CENTERS (.pdf)
IL444-5011 - DESCRIPTION OF REASONABLE EFFORT (pdf)
IL444-5011 S - DESCRIPCIÓN DE ESFUERZO RASONABLE (pdf)
IL444-5012 - ANOTACIÓN DE LA ACTIVIDAD EN CASA - HOME ACTIVITY RECORD (pdf)
IL462-0046 - Exceptional Care Program Annual Review Facility Attestation (pdf)
IL462-0170 - Waiver Program Provider Agreement (pdf)
IL462-0170 S - Waiver Program Provider Agreement (pdf)
IL462-0290 - OTHER DAY PROGRAM REQUEST (.pdf)
IL462-1209 C - STAFF TRAINING REIMBURSEMENT REQUEST FOR COMMUNITY & ICF/IDD (FACILITY) PROVIDERS FOR INSULIN AND ENTERAL TUBES (.pdf)
IL462-1299 Support Services Teams Referral Form 7/15 (pdf)
IL462-4423 S - RESUMEN DE NECESIDADES CLÍNICAS (pdf)
IL462-4424 S - PETICIÓN PARA PERSONAL DE APOYO ADICIONAL y 1 o 2 PERSONAS CILA (pdf)
IL462-4454 - INDEPENDENT SERVICE COORDINATION (ISC) REVIEW AND APPROVAL OF INDIVIDUAL SERVICE PLAN (ISP) (.pdf)
IL462-4454 S COORDINACIÓN DE SERVICIOS INDEPENDIENTES (ISC) REVISIÓN Y APROVACIÓN DEL PLAN INDIVIDUAL DE SERVICIOS (ISP) (pdf)
IL462-5509 MEDICAL SERVICES REFUSAL FORM (.pdf)
IL462-5509 S FORMULARIO DE RECHAZO DE SERVICIOS MÉDICOS (.pdf)
IL462-6010 - Health Care Unit Equipment (pdf)
IL488-1220 PROVIDER MILESTONE MODIFICATION REQUEST (.pdf)
IL488-1221 PROVIDER SEP MODIFICATION REQUEST (.pdf)
IL488-2170 FAST TRACK TRANSITION STUDENT FLOW CHART (pdf)
IL488-2262 S - ACUERDO DEL PROVEEDOR PARA EL PROGRAMA DE EXENCIÓN (.pdf)
IL488-2263 S - FORMULARIO PARA INSCRIPCIÓN DEL PROVEEDOR INDIVIDUAL EN EL SISTEMA IMPACT (.pdf)
IL488-2270 MEDICAL DOCUMENTATION FOR OVERTIME EXCEPTION REQUEST (pdf)
IL488-2271 POST-APPROVAL REQUEST FOR OVERTIME EXCEPTION (pdf)
IL488-2271 S SOLICITUD DE POS-APROBACIÓN PARA EXCEPCIÓN DE TIEMPO EXTRA (pdf)
IL488-2272 PRE-APPROVAL REQUEST FOR OVERTIME EXCEPTION (pdf)
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