Lynne A. Valenti
Cabinet Secretary

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Below you will find the selected forms and/or publications for this order. You will need to indicate the quantity you want to receive in the box next to the document number. After you have entered the quantity, click "Update" in the previous box. If you wish to remove a form or publication, simply click on the link that states "Delete." Once you have entered the quantity for each form or publication, click the "Proceed" button at the bottom.

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditEA-324Wage VerificationDelete
1EditEA-320Self-Employment LedgerDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditEA-265Request for Long-Term Care or Home Community Based Services Waiver AssistanceDelete
1EditVS-694Crime Victims Compensation Primary ApplicationDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditEA-214SNAP 6 Month Report FormDelete
1EditFSSAChildren and Family Medical Assistance ApplicationDelete
1EditEA-231Child Support Enforcement ReferralDelete
1EditVS-695Crime Victims Compensation Secondary ApplicationDelete
1EditBRO/EBT1EBT Client HandbookDelete