Publications
This PowerPoint presentation may be used when training front-line staff on their civil rights responsibilities.
Please follow the attached instructions to accurately complete the Annual Civil Rights Data Collection Form.
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a beneficiary of the Supplemental Nutrition Assistance Program (SNAP; formerly known as Food Stamps).
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a participant in Head Start or Early Head Start.
Please note that a Head Start Certification List or other proof of eligibility for Head Start must also...
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a child who is a beneficiary of Temporary Assistance for Needy Families (TANF).
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified based on household income information.
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified for a foster child.
This is a sample Enrollment Form / Income Eligibility Statement demonstrating how the form should be filled out and classified if a parent or guardian chooses to fill out one form for both a foster child and other children also residing in the household.
2013 DC CAS Health Online Pilot Addendum and Quickstart Guide