Language Access

The New Jersey Department of Human Services (NJ DHS) is committed to ensuring meaningful access for individuals with limited English proficiency. We provide language assistance services at no cost.

The information in this Language Access Plan reflects the Department’s current assessment, practices, services, staffing, and resources as of December 2025. Human Services is committed to continuing its efforts toward ongoing implementation of language access and will revise this plan in accordance with the law.

Inventory of Translated Vital Documents

Date of Update: 12/18/2025

Translation of vital documents is an ongoing effort. As of the publication date, the following vital documents are publicly available in the languages specified for each division/office. An (X) indicates availability.

Resources
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
Stool Specimen Instructions X       X       X Dari, Farsi, French, Pashto, Russian, Swahili, Ukrainian, Urdu
Seven things you need to know before your Domestic Medical Health Screening X       X       X Dari, Farsi, French, Pashto, Russian, Swahili, Ukrainian, Urdu
Asylum Guide         X       X  
Employment Authorization Document Information for Agencies                 X  
Employment Authorization Document Information         X       X  
Know Your Rights: Businesses X X X   X X X X X Bengali, Farsi, French, Hindi, Italian, Pashto, Polish, Punjabi, Russian, Swahili, Tagalong, Turkish, Ukrainian, Urdu, Vietnamese
Know Your Rights: Individuals X X X   X X X X X Bengali, Farsi, French, Hindi, Italian, Pashto, Polish, Punjabi, Russian, Swahili, Tagalong, Turkish, Ukrainian, Urdu, Vietnamese
ONA Welcome Booklet         X       X  
ONA Welcome Booklet flyer         X       X  
ONA Programs Flyer X X X   X X X X X Bengali, Farsi, Filipino, French, Hindi, Italian, Polish, Punjabi, Russian, Swahili, Ukrainian, Vietnamese
Public Charge Flyer X X X   X X X X X Bengali, Farsi, Filipino, French, Hindi, Italian, Polish, Punjabi, Russian, Swahili, Ukrainian, Vietnamese
What You Need to Know About Your Health Screening - Video X       X       X Dari, French, Pashto, Russian, Ukrainian
New Jersey Detention and Deportation Defense Initiative (DDDI) New Jerseyans Detained by ICE Referral Form                 X  
Office of New Americans Website                    
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
ASPIRE                 X  
LEAP/2                 X  
Recruitment of Eye Care Professionals/3                 X  
Diabetic Eye Screening Flyer                 X  
PB Request a Screening form                 X  
Registration form AVS/onsite/DEDD                 X  
ECVS permission slips                 X  
Eligibility, Services and Programs Description                 X  
Has Vision Loss Affected Your Daily Life?                 X  
Education Services                 X  
Teacher of the Visually Impaired Recruitment                 X  
Fellowship Program for Consumers ages 18-21 and 55+                 X  
Orientation & Mobility Specialist Recruitment                 X  
10 Tips for Eye Safety                 X  
Recruiting Professional Eye Care Partners                 X  
Diabetes Education PowerPoint Presentation                 X  
PB Follow up (blue)                 X  
PB Follow up ECVS (yellow)                 X  
DHS HIPAA Authorization To Disclose PHI                 X  
Board of Trustees Scholarship Program                 X  
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
Initial Application                 X  
Informational Pamphlet                 X  
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
Program and Services Brochure                 X  
Program and Services Flyer                 X  
Hearing Aid Programs Brochure                 X  
NJHAP Application, Form A                 X  
NJHAP Application, Form B                 X  
NJHAP Frequently Asked Questions                 X  
NJHAP Donation Flyer                 X  
NJHAP Mobile Audiologist Flyer                 X  
Grace's Law Brochure                 X  
Additional Hearing Aid Resources                 X  
NJHAP Eligible Letter                 X  
NJHAP Ineligible Letter                 X  
NJHAP Missing Documents Letter                 X  
HAAAD Application                 X  
Guide to Communication Access                 X  
Medicaid Guide to Requesting Communication Access                 X  
Interpreter Directory – General                 X  
Interpreter Directory - Health Care                 X  
Interpreter Directory – Legal                 X  
Interpreter Directory - Department of Child Protection and Permanency                 X  
Interpreter Directory - Certified Deaf Interpreter                 X  
Interpreter Directory – CART                 X  
Language Instruction Program (LIP) Brochure                 X  
LIP Application                 X  
Become an ASL DLA Flyer                 X  
Benefits of an ASL DLA in Early Childhood Programs                 X  
Equipment Distribution Program (EDP) Application                 X  
EDP Eligible Letter                 X  
EDP Eligible Waiting List Letter                 X  
EDP Ineligible Letter                 X  
Guidance for Hospital and Health Care Providers                 X  
Law Enforcement Standard Operating Procedures                 X  
Law Enforcement Communication Card, Pamphlet             X   X  
Law Enforcement Communication Card, Wallet             X   X  
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
DDS WEBSITE   X     X X X X X  
DDS - DISABILITY INFORMATION HUB WEBSITE   X     X X X X X  
NJ RESOURCES: PRINT                 X  
NJ RESOURCES: DIGITAL                 X  
TBI FUND Brochure                 X  
DDS Brochure                 X  
NJ Workability Brochure                 X  
PASP Brochure                 X  
Guide to Accessible Parking Booklet                 X  
Disability Information Hub Postcards                 X  
TBI Application                 X  
PASP Application                 X  
Inclusive Healthy Communities One-Pager                 X  
DDS Listserv E-Newsletter                 X  
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
BARA 111-Fair Hearing Information and Request Form X X X   X X X X X Italian, Polish, Russian, Vietnamese
CC 1-CCAP Application                 X  
CC 166 Parent Termination Notice                 X  
CC 167 Parent's Child Care Review Rights                 X  
CC 169 TANF Termination Notice                 X  
CC 171 Notice of Parent Disqualification                 X  
CC 198 Notification of Change Form                 X  
CC 2 Approval Notice                 X  
CC 206 Graduated Phase Out Notice                 X  
CC 213 McKinney Vento Intake Form                 X  
CC 214 McKinney Vento Authorization for Service Provider Referral                 X  
CC 215 McKinney Vento Presumptive Eligibility Approval Notice                 X  
CC 216 Special Needs Certification Form                 X  
CC 218 McKinney Vento Presumptive Eligibility Ending Notice                 X  
CC 235 CC Supplemental Form                 X  
CC 4 Application Pending Notice                 X  
CC 5 Denial Notice                 X  
DSNAP 1 DSNAP Application                 X  
DSNAP 4 DSNAP Determination Notice                 X  
EBT 20 Request for Replacement of Electronically Stolen Benefits                 X  
EBT 21 Notice About Your Request for Replacement                 X  
EBT 12 EBT System Error X X     X X X   X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
EBT 15 4th replacement card warning X X     X X X   X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
ECC 155 Child Care Services Subsidy Repayment Agreement                 X  
ECC 156 Warning Letter for Failure to Use E-Child Care                 X  
ECC 158 Termination Notice for Failure to use E-Child Care                 X  
ECC 159 Warning Notice Specific to E-Child Care Program Violation                 X  
ECC 161 Warning Letter for Failure to Use or Misuse of E-Child Care                 X  
ECC 184 Warning Letter for Failure to Comply with CCSP Policy                 X  
MHI 1 Questionnaire                 X  
MHI 5 Authorization for Release of Information                 X  
NJ SNAP 18 Certification Appointment for NJ SNAP Benefits                 X Polish
NJ SNAP 2 Notice of Missed Interview                 X Polish
NJ SNAP 111 Information Concerning NJ SNAP Disqualification Consent Agreements X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 112 Disqualification Consent Agreement                 X  
NJ SNAP 17 Expedited Screening Tool                 X  
NJ SNAP 33 Request for Verification X X     X X X X X Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 4 IRF X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 60 Notice of Expiration                 X  
NJ SNAP 905 Appointment Notice for Suspected Intentional Program Violation X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 906A Advance Notice of Administrative Disqualification Hearing X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 906B Waiver of Right to Administrative Disqualification Hearing X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 909 Notice Regarding Eligibility for Compromise of NJ SNAP Claim                 X  
NJ SNAP 922 Change Report Form for NJ SNAP Non-Simplified Reporting Cases X X     X X X X X Bengali, Hindi, Italian, Polish, Russian, Ukrainian, Urdu
NJ SNAP 947 Important Notice to Repay Overissued NJ SNAP Benefits (Rev 12-18) X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 990 Agreement to Repay Overissued NJ SNAP Benefits X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
NJ SNAP 999 Notice of Disqualification X X     X X X X X Bengali, Hindi, Italian, Korean, Polish, Punjabi, Russian, Ukrainian, Urdu
SNAP/FSP 34 Request for Contact X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
SNAS 1 English Application FFY 25                 X  
SSA - Consent for Release of Information                 X  
SSH-2 Authorization for Release of Information                 X  
WFNJ 15 SNAP 15 Benefit Notification Form X X X X X X X X X Arabic, Italian, Polish, Russian, Vietnamese
WFNJ 19 CSA Initial Appointment Letter         X       X  
WFNJ 1J (Revised 09-20) - Application and Affidavit for Public Assistance X X X   X X X X X Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
WFNJ 1JA (Revised 08-17) - Redetermination-Certification for Assistance X X X   X X X X X Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
WFNJ 1JX (Revised 9-16) - Cash Assistance NJ SNAP Application and Registration X X X   X X X X X Bengali, Dutch, Hindi, Italian, Korean, Polish, Punjabi, Russian, Ukrainian, Urdu
WFNJ 76A Hardship Extension X X X   X X X X X Italian, Korean, Polish, Russian, Vietnamese
WFNJ 76B Extension for Specific Groups X X X   X X X X X Italian, Polish, Russian, Vietnamese
WFNJ 77A Notification of Hardship Extension X X X   X X X X X Italian, Polish, Russian, Vietnamese
WFNJ 77B Notification of Extension for Specific Groups X X X   X X X X X Italian, Polish, Russian, Vietnamese
WFNJ 81 Responsibility Plan for Mandatory Work Participant         X       X  
WFNJ 91 Affidavit of Work First New Jersey and FSP Non-Criminality X X     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) X X     X X X X X Bengali, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
WFNJ GA 30A Agreement to Repay Assistance from Initial SSI Payment                   Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
WFNJ GA 31 Repayment of Interim Assistance Authorization Work First New Jersey General Assistance X X     X X X X X Bengali, Dutch, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
WFNJ SNAP 30 Prison Verification Match X X     X X X X X Bengali, Hindi, Italian, Polish, Punjabi, Russian, Ukrainian, Urdu
Voter Registration           X X   X  
WFNJ 100 Important Notice for WFNJ Applicants and Recipients         X       X  
WFNJ 10D         X          
WFNJ TANF 15 Review Client Notification                 X  
WFNJ TANF CSP 162 Notice of Non-Cooperation Status                 X  
WFNJ TANF CSP 163 Initial Cooperation with Child Support                 X  
WFNJ TANF CSP 164 Cooperation Requirement Notice                 X  
WFNJ TANF CSP 166 Failure to Appear at Appointment or Hearing                 X  
WFNJ TANF CSP 173 Affidavit of Good Cause Non-Cooperation                 X  
WFNJ TANF CSP 174                 X  
WFNJ TANF CSP 175 Affidavit of Good Faith Effort                 X  
CS500 Child Support Application                    
Case Closure Notice                    
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
NJ FamilyCare Brochure                 X  
NJ FamilyCare Income Chart                 X  
NJ FamilyCare Fact Sheet X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Plan First Information Flyer                 X  
NJ Supplemental Prenatal and Contraceptive Program (NJSPCP) Flyer                 X  
Health Plan Brochure X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Anti-fraud Flyer "Beware of Renewal Scams" X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Immigration Information Flyer X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Korean, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
NJFC Application Checklist                 X  
Aged, Blind, Disabled Programs Brochure                 X  
Healthy Facts at a Glance Flyer X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
How Do I Get NJ FamilyCare Health Coverage Infographic Flyer X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Behavioral Health Services Flyer X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Non Discrimination Statement X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Cover All Kids Flyer X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Cover All Kids Poster X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Must Renew Each Year Flyer X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Forgot to Renew Flyer X X     X X X X X Bengali, Dari, French, Hindi, Italian, Japanese, Pashto, Polish, Russian, Tagalog, Turkish, Urdu, Vietnamese
Cover All Kids Website                   Website has a Translate feature
Stay Covered NJ Website                   Website has a Translate feature
NJFC/Medicaid   X X   X X X X X  
NJ FamilyCare Privacy Notice                 X  
Estate Recovery Notice                 X  
Estate Recovery FAQs                 X  
Beneficiary Rights and Responsibilities (part of application as well)                 X  
NJ FamilyCare Initial Paper Application                 X  
NJ FamilyCare Initial Online Application                 X  
NJ FamilyCare Request for Information                 X  
NJ FamilyCare Enrollment Confirmation Letter                 X  
NJ FamilyCare Application Denial Letter                 X  
NJFC Failure to Provide Termination Letter                 X  
NJ FamilyCare Renewal Application                 X  
NJ FamilyCare Renewal Letter with Renewal Code                 X  
NJ FamilyCare Online Renewal Application                 X  
NJ FamilyCare Ex-Parte Renewal Letter (a separate notice from SNAP is in the works)                 X  
Reinstate While Evaluate Notice                 X English w/# for translation services in Spanish
Delayed Renewal Notice                 X English w/# for translation services in Spanish
Managed Care Selection Form                 X  
ABD Paper Application                 X  
ABD Initial Online Application                 X  
ABD Applicant Rights and Responsibilities                 X  
ABD Request for Information Letter                 X  
ABD Enrollment Confirmation Letter                 X  
ABD Denial Letter                 X  
ABD Failure to Provide Termination Letter                 X  
ABD Paper Renewal Application                 X  
ABD Online Renewal Letter with Renewal Code                 X  
ABD Ex-Parte Renewal Letter                 X  
Your Right to a Fair Hearing                 X  
Presumptive Eligibility Confirmation Letter                 X  
PE Outreach Letter with Invitation Code                 X  
Early Periodic Screening, Diagnosis, and Treatment Services                 X  
Keep Children Safe From Lead Flyer                 X  
Designation of Authorized Representative Form                 X  
HIPAA Notice of Privacy Practices (supplied by another Division)                 X  
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
NJSave Info sheet                 X  
PACE QA sheet                 X  
Nondiscrimination Statement (ACS-38)                 X  
NJ FAMILY Healthcare Plans                 X  
Notice of Private Practice                 X  
NJSave Application (online)                 X  
NJSave Application (paper)                 X  
NJSave Affidavit of Separation                 X  
NJSave Rental Income Worksheet                 X  
Division of Aging Services Program Guide                 X  
NJSave Fact Sheet                 X  
GetSetUp Flyer                 X  
Evidence-Based Wellness Programs in New Jersey Flyer                 X  
JACC Brochure                 X  
Statewide Respite Care Program Brochure                 X  
Alzheimer's Adult Day Services Program Brochure                 X  
APS Fact Sheet                 X  
Take Control of Your Health Brochure Template                 X  
Take Control of Your Health Flyer Template                 X  
Take Control of Your Health Participant Information Survey                 X  
Take Control of Your Health Workshop Evaluation                 X  
Take Control of Your Health Participant Certificate of Completion                 X  
Take Control of Your Health Group Leader Script                 X  
Notice of Nondiscrimination – AAA                 X  
Notice of Nondiscrimination – OCCO                 X  
Notice of Nondiscrimination – PAAD                 X  
DHS/DoAS Notice of Privacy Practices                 X  
NJSave Promotional Materials - Poster                 X  
NJSave Promotional Materials - Flyer                 X  
NJSave Promotional Materials - Tabletop card                 X  
NJSave Promotional Materials - Rack card                 X  
Request Translator X       X X X X X Hindi, Italian, Polish, and Russian
Quality Messages X       X X X X X Hindi, Italian, Polish, and Russian
GovAI Translation Pairs X           X X X Amharic, Armenian, Burmese, Farsi/Dari, Hmong, Russian, Somali, Tagalog, Urdu Vietnamese
Benefit Bot                 X  
DoAS Main Menu & Bot                 X  
DoAS Email Templates                 X  
APS Quick Guide for Hospital Staff flyer                 X  
Doing Our Part with Adult Protective Services flyer   X             X  
Mandated Reporters and Adult Protective Services flyer   X             X  
Signs of Neglect Courtesy of Adult Protective Services flyer   X             X  
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
Quick Guide for Families                 X  
Full Application for Determination of Eligibility   X     X X X X X  
Short Application for Determination of Eligibility   X     X X X X X  
Sample NJCAT                 X  
Quick Guide to Incident Reporting                 X  
Participant Enrollment Agreement                 X  
Transition Brochure                 X  
Graduates Timeline                 X  
Document Title/Number Arabic Chinese Simplified Chinese Traditional French Creole Haitian Creole Gujarati Korean Portuguese Spanish Additional Languages
IDP/IDRC Curriculum PowerPoint                 X  
IDP/IDRC Curriculum Workbook                 X  
Convicted Offender Fact Sheet X X         X X X French, Polish, Russian
What You Should Know Tri-Fold                    
Schedule Notice                    
Release of Information template                    
Change of Address                 X  
Out of State Packet                 X  
Z Letter / Form                 X  
988 Fact Sheet                 X  
988 Brochure         X X X X X Mandarin, Italian, Tagalog, Polish (English and Spanish available digitally and in print)
988 Flyer                 X  
988 Wallet Card                 X  
988 Social Posts                 X  
988 DMHAS Site                   N/A
PASRR site                    
DMHAS Brochure                 X  
Relocation Brochure