| BARA 111-Fair Hearing Information and Request Form |
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Italian, Polish, Russian, Vietnamese |
| CC 1-CCAP Application |
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| CC 166 Parent Termination Notice |
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| CC 167 Parent's Child Care Review Rights |
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| CC 169 TANF Termination Notice |
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| CC 171 Notice of Parent Disqualification |
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| CC 198 Notification of Change Form |
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| CC 2 Approval Notice |
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| CC 206 Graduated Phase Out Notice |
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| CC 213 McKinney Vento Intake Form |
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| CC 214 McKinney Vento Authorization for Service Provider Referral |
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| CC 215 McKinney Vento Presumptive Eligibility Approval Notice |
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| CC 216 Special Needs Certification Form |
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| CC 218 McKinney Vento Presumptive Eligibility Ending Notice |
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| CC 235 CC Supplemental Form |
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| CC 4 Application Pending Notice |
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| CC 5 Denial Notice |
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| DSNAP 1 DSNAP Application |
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| DSNAP 4 DSNAP Determination Notice |
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| EBT 20 Request for Replacement of Electronically Stolen Benefits |
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| EBT 21 Notice About Your Request for Replacement |
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| EBT 12 EBT System Error |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| EBT 15 4th replacement card warning |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| ECC 155 Child Care Services Subsidy Repayment Agreement |
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| ECC 156 Warning Letter for Failure to Use E-Child Care |
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| ECC 158 Termination Notice for Failure to use E-Child Care |
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| ECC 159 Warning Notice Specific to E-Child Care Program Violation |
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| ECC 161 Warning Letter for Failure to Use or Misuse of E-Child Care |
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| ECC 184 Warning Letter for Failure to Comply with CCSP Policy |
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| MHI 1 Questionnaire |
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| MHI 5 Authorization for Release of Information |
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| NJ SNAP 18 Certification Appointment for NJ SNAP Benefits |
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Polish |
| NJ SNAP 2 Notice of Missed Interview |
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Polish |
| NJ SNAP 111 Information Concerning NJ SNAP Disqualification Consent Agreements |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP 112 Disqualification Consent Agreement |
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| NJ SNAP 17 Expedited Screening Tool |
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| NJ SNAP 33 Request for Verification |
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Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP 4 IRF |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP 60 Notice of Expiration |
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| NJ SNAP 905 Appointment Notice for Suspected Intentional Program Violation |
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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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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP 906B Waiver of Right to Administrative Disqualification Hearing |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP 909 Notice Regarding Eligibility for Compromise of NJ SNAP Claim |
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| NJ SNAP 922 Change Report Form for NJ SNAP Non-Simplified Reporting Cases |
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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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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP 990 Agreement to Repay Overissued NJ SNAP Benefits |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| NJ SNAP 999 Notice of Disqualification |
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Bengali, Hindi, Italian, Korean, Polish, Punjabi, Russian, Ukrainian, Urdu |
| SNAP/FSP 34 Request for Contact |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| SNAS 1 English Application FFY 25 |
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| SSA - Consent for Release of Information |
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| SSH-2 Authorization for Release of Information |
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| WFNJ 15 SNAP 15 Benefit Notification Form |
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Arabic, Italian, Polish, Russian, Vietnamese |
| WFNJ 19 CSA Initial Appointment Letter |
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| WFNJ 1J (Revised 09-20) - Application and Affidavit for Public Assistance |
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Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ 1JA (Revised 08-17) - Redetermination-Certification for Assistance |
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Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ 1JX (Revised 9-16) - Cash Assistance NJ SNAP Application and Registration |
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Bengali, Dutch, Hindi, Italian, Korean, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ 76A Hardship Extension |
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Italian, Korean, Polish, Russian, Vietnamese |
| WFNJ 76B Extension for Specific Groups |
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Italian, Polish, Russian, Vietnamese |
| WFNJ 77A Notification of Hardship Extension |
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Italian, Polish, Russian, Vietnamese |
| WFNJ 77B Notification of Extension for Specific Groups |
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Italian, Polish, Russian, Vietnamese |
| WFNJ 81 Responsibility Plan for Mandatory Work Participant |
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| WFNJ 91 Affidavit of Work First New Jersey and FSP Non-Criminality |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ GA 30 Authorization for Reimbursement of Initial Supplemental Security Income (SSI) |
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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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Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| WFNJ SNAP 30 Prison Verification Match |
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Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu |
| Voter Registration |
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| WFNJ 100 Important Notice for WFNJ Applicants and Recipients |
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| WFNJ 10D |
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| WFNJ TANF 15 Review Client Notification |
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| WFNJ TANF CSP 162 Notice of Non-Cooperation Status |
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| WFNJ TANF CSP 163 Initial Cooperation with Child Support |
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| WFNJ TANF CSP 164 Cooperation Requirement Notice |
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| WFNJ TANF CSP 166 Failure to Appear at Appointment or Hearing |
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| WFNJ TANF CSP 173 Affidavit of Good Cause Non-Cooperation |
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| WFNJ TANF CSP 174 |
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| WFNJ TANF CSP 175 Affidavit of Good Faith Effort |
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| CS500 Child Support Application |
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| Case Closure Notice |
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