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235709

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This form is used for filing an adjustment report in the state of Arizona. It allows individuals to report changes in their employment status or income for the purpose of applying for or modifying their unemployment benefits.

This form is used for reporting campaign contributions in the state of California within a 24-hour or 10-day period.

This form is used for the Adoptions Assistance Program Independent Adoptions Program in California. It is used to provide assistance for independent adoptions in the state.

This document provides reassessment information for the Adoption Assistance Program in California. It is used to update and review eligibility for program benefits.

This form is used for waiving the right to revoke consent in an independent adoption program in California.

This Form is used for collecting demographic information for various assistance programs in California, such as CalWORKs, Refugee Cash Assistance, Entrance Cash Assistance, Trafficking and Crime Victims Assistance Program, and CalFresh.

This document provides county-specific information for residents in California. It includes important details regarding services, resources, and regulations applicable to specific counties in California.

This form is used for requesting the addition, deletion, or modification of a user on the Intentional Program Violation (IPV) Online System in California.

This form is used for requesting a change of name or address in the Home Care Aide Registry in California.

This form is used for obtaining a dishonesty bond for home care organizations operating in California.

This form is used for applying for a provisional license as a temporary manager in the state of California.

This form is used for providing advisory notes regarding technical violations in California. It provides guidance on what actions can be taken to rectify the violation.

This Form is used for notifying individuals in California about the discontinuation of interim funding for emergency caregivers.

This form is used for notifying applicants or participants about the approval of their Supplemental Nutrition Benefit (SNB) Program in California.

This form is used for the California Supplemental Nutrition Benefit (SNB) Program to notify individuals about the expiration of their certification.

This form is used for notifying the discontinuance of Supplemental Nutrition Benefit (SNB) Program in California.

This form is used for informing recipients of CalFresh and Supplemental Nutrition Benefit (SNB) about the intercounty transfer of their benefits in California.

This Form is used for informing CalFresh and Supplemental Nutrition Benefit (SNB) recipients in California about the sending of an intercounty transfer.

This Form is used for foster youth in California and their foster care providers to mutually agree to extend foster care services beyond the age of 18.

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