| BARA-111 |
X |
X |
X |
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X |
X |
X |
X |
X |
Italian, Polish, Russian, Vietnamese |
| EBT-12 |
X |
X |
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X |
X |
X |
X |
X |
Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| EBT-15 |
X |
X |
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X |
X |
X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| FSP-34 Request for Contact |
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X |
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X |
X |
X |
X |
X |
Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-111--INFORMATION CONCERNING NJ SNAP DISQUALIFICATION CONSENT AGREEMENTS |
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X |
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X |
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X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-33 -- Request for Verification |
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X |
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X |
X |
X |
X |
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Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-4 |
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X |
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X |
X |
X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-905 -- Appointment Notice for Suspected Intentional Program Violation |
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X |
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X |
X |
X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-906A --ADVANCE NOTICE OF ADMINISTRATIVE DISQUALIFICATION HEARING |
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X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-906B --WAIVER OF RIGHT TO ADMINISTRATIVE DISQUALIFICATION HEARING |
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X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-922 --CHANGE REPORT FORM FOR NJ SNAP NON-SIMPLIFIED REPORTING CASES |
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X |
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X |
X |
X |
X |
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Bengali, Hindi, Italian, Polish, Russian, Ukrainian, Urdu |
| NJ SNAP-947 --IMPORTANT NOTICE TO REPAY OVERISSUED NJ SNAP BENEFITS (Rev 12-18) |
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X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-990 -- NOTICE OF DISQUALIFICATION |
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X |
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X |
X |
X |
X |
X |
Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP-999 -- NOTICE OF DISQUALIFICATION |
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X |
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X |
X |
X |
X |
X |
Bengali, Hindi, Italian, Korean, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ 15 SNAP 15 |
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X |
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X |
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Arabic, Italian, Polish, Russian, Vietnamese |
| WFNJ 1J A (Revised 08-17) -- REDETERMINATION-CERTIFICATION FOR ASSISTANCE |
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Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ 1J (Revised 09-20) -- Application and Affidavit for Public Assistance |
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X |
X |
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X |
X |
X |
X |
X |
Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ 1JX (Revised 9-16) -- CASH ASSISTANCENJ SNAP APPLICATION AND REGISTRATION |
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X |
X |
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X |
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X |
X |
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Bengali, Dutch, Hindi, Italian, Korean, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ 76A -- Hardship Extension |
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X |
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Italian, Korean, Polish, Russian, Vietnamese |
| WFNJ 76B -- Extension for Specific Groups |
X |
X |
X |
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X |
X |
X |
X |
X |
Italian, Polish, Russian, Vietnamese |
| WFNJ 77A -- Notification of Hardship Extension |
X |
X |
X |
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X |
X |
X |
X |
X |
Italian, Polish, Russian, Vietnamese |
| WFNJ 77B -- Notification of Extension for Specific Groups |
X |
X |
X |
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X |
X |
X |
X |
X |
Italian, Polish, Russian, Vietnamese |
| WFNJ 91 -- AFFIDAVIT OF WORK FIRST NEW JERSEY and FSP NON-CRIMINALITY |
X |
X |
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X |
X |
X |
X |
X |
Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ GA 30 --AUTHORIZATION FOR REIMBURSEMENT OF INITIAL SUPPLEMENTAL SECURITY INCOME (SSI) |
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X |
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X |
X |
X |
X |
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Bengali, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ GA 30A --AGREEMENT TO REPAY ASSISTANCE FROM INITIAL SSI PAYMENT |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ GA 31 --REPAYMENT OF INTERIM ASSISTANCE AUTHORIZATION WORK FIRST NEW JERSEY GENERAL ASSISTANCE |
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X |
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X |
X |
X |
X |
X |
Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ SNAP 30 --PRISON VERIFICATION MATCH |
X |
X |
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X |
X |
X |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| Voter Registration |
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X |
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X |
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| WFNJ 100 --IMPORTANT NOTICE FOR WFNJ APPLICANTS AND RECIPIENTS |
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| WFNJ 10D |
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| WFNJ 19 -- CSA INITIAL APPOINTMENT LETTER 2-22 |
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| WFNJ 81 --RESPONSIBILITY PLAN FOR MANDATORY WORK PARTICIPANT |
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| WFNJ GA 51 --IMPORTANT REMINDER OF YOUR OBLIGATION TO REPORT CHANGES |
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X |
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| NJ SNAP 18 -- Certification Appointment for NJ SNAP Benefits |
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X |
Polish |
| NJ SNAP 2 -- Notice of Missed Interview |
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Polish |
| HIPAA 2 |
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Russian |