STARS Documents
Sorted by Name
Name Description of Form
500 Prison Case Genetic Test Results Letter
713 Admin Hearing Request FIW
AAA Arrearage Affidavit
AAC OSAH Consent PAT/CS/MED
AAS Administrative Subpoena to Produce Documents and Affidavit of Service
AAT Final Child Support Order & Acknowledgment of Service / Waiver of Jurisdiction
ABA Account Balance Adjustment Form
ACC OSAH Form 1 – Complaint for Recovery of Child Support
ACE OSAH Form 1 – Complaint for Recovery of Child Support
ACK Acknowledgement / Child Support Obligation
ACM Administrative Consent Agree – Medical Only
ACP OSAH Form 1 – Hearing Packet for Child Support and Medical
(Paternity is not an issue) w/Paternity Stipulation
ADE Appeal Of Notice To Issue Withhold And Deliver
ADJ Statewide Adjustment Form
ADL Application Deficiency Letter
ADM Application Deficiency Letter (Spanish version of ADL)
ADO Administrative Docket Dismissal Order
AHA Letter to OSAH - Hearing Request Withhold & Deliver
AHC OSAH FORM 1 – Hearing for Child Support and Medical
AHI Hearing Request IDOs
AHM OSAH FORM 1 – Consent for Child Support and Medical - No Hearing
AHO OSAH FORM 1 – Request for Paternity Testing Order – Prison Cases
AHP OSAH FORM 1 – Hearing for Paternity, Child Support and/or Medical
AHQ Hearing Request Arrears - Withhold & Deliver
AHW Hearing Request Withdrawal
AMA Hearing Request Obligation / Insurance
AMH Hearing Request Medical Support
AMR Hearing Request Reasonable Insurance Cost
APF Motion For Reduction Of Unreimbursed Public Assistance Debt
APT OSAH FORM 1 – Administrative Hearing for Pat Test and Final Order
ARI Authorization to Release Information
ARL COS Request for Information Ltr – CP
ARM Portal Deficiency Letter – AF
ARO OSAH Order of Remand
ATP CP Notice of Third Party Payee Cancellation
ATQ CP Notice of Third Party Payee Cancellation
AWL Lien for Workers Comp Benefits
AWR Lien Release for Workers Comp
CAA Contempt $ and Insurance Package
CAB Contempt $ Only Package
CAC Contempt / Insurance Only Package
CAD Contempt / DNA Only Package
CAE TANF Complaint Package
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STARS Documents
Sorted by Name
Name Description of Form
CAF Non-TANF Complaint Package
CAG Prior Decree Complaint Package
CAH Consent on Divorce Decree w/ Income Deduction Order
CAI Obligation Consent Order
CAJ Contempt Consent Order
CAK Long Arm Package
CAL Medical Support Only Package
CAM Contempt – Concurrent Jurisdiction Package
CAN Complaint for Insurance
CAO Consent Modification to Add Insurance
CAP Intervene as Plaintiff Package
CAQ Intervene as Defendant Package
CAR Scire Facias Package
CAS Consent Paternity Test Stipulation
CAT Consent Income Deduction Order
CAU Qualified Medical Support Order (QDRO)
CAV Domestic Relations Case Filing Information Form
CAW CA Disposition Form
CAX Subpoena w/o Documents
CAY Subpoena w/ Documents
CAZ Summons / Rule Nisi
CBA Notice of Hearing Continuance & Reschedule
CBB Acknowledgement of Service / Waiver / Order
CBC Bench Warrant
CBD Contempt Attach on Summons
CBE Litigation letter
CBF Long Arm Cost Letter
CBG Notice of Lien letter
CBH Pre-trial Amend
CBI Petition to Correct Error / Order
CBJ Voluntary Dismissal w/o Prejudice
CBK Voluntary Dismissal on genetic testing results
CBL Irrevocable Assignment
CBM Motion and Order of Transfer
CBN Motion to Continue
CBO Motion to Continue o/b/o Def
CBP Attach “a” Suspended Sentence / Order
CBQ Attach “a” Suspended Sentence / Consent
CBR Contempt Order to Jail on Suspended Sentence
CBS Affidavit for Incarceration after previous Contempt
CBT Order Releasing From Incarceration after previous Contempt
CBU Affidavit to Re-Incarcerate after Contempt
CBV Order to Re-Incarcerate after Contempt
CBW Revised Contempt Order to Re-Incarcerate
CBX Motion to Add Party and Rule for Contempt
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STARS Documents
Sorted by Name
Name Description of Form
CBY Motion to Add C/P and Guardian Ad Litem
CBZ Notice to Produce
CCA Request to Admit – Paternity (long)
CCB Interrogatories – Paternity
CCC Contempt – Discovery (full)
CCD Motion to Compel Discovery Package
CCE Mother’s paternity affidavit
CCF Objection to Chapter 13 Package
CCG Withdrawal of Objection Package
CCH Relief from Stay Package
CCI Motion for Relief / Auto Stay
CCJ Bankruptcy Checklist
CCK Final UIFSA Order
CCL Temporary UIFSA Order
CCM UIFSA Transfer Order
CCN Order to Pay DA $50.00 UIFSA Fee
CCO Standard Certificate of Service
CCP Add-a-Child by Modification Package
CCQ O.C.G.A. §19-6-19 Modification Package
CCR Foster Care Complaint Package
CCS Defendant’s Hearing Notice
CCT Hearing notice to others
CCU UIFSA Registration Package
CCV UIFSA Agreement / Service Waiver
CCW Final Hearing Notice to Defendant
CCX Amendment to UIFSA Petition
CCY IDO Contest Nisi
CCZ UIFSA Consent Package
CDA UIFSA Certification Letter
CDB UIFSA Acknowledgement Form
CDC UIFSA Payment Information
CDD UIFSA Appointment Letter – request for enforcement of order
CDE UIFSA Enforcement Letter
CDF UIFSA Responding Letter
CDG Acknowledgement of Service / No Order
CDH TANF Appointment Settlement Letter
CDI Prior Divorce Decree Appointment Settlement Letter
CDJ Non-TANF Appointment Settlement Letter
CDK Notice to CP of NCP Meeting
CDL Contempt w/ License Suspension
CDM Georgia Bar License Suspension Package
CDN Notice to State Bar of License Suspension
CDO CP List of NCP’s Assets
CDP Income Withholding Order – Employer Warning Letter #1
CDQ Income Withholding Order – Employer Warning Letter #2
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STARS Documents
Sorted by Name
Name Description of Form
CDR Lien Package for Personal Property and Worker’s Compensation Notice
CDS Temporary Child Support on Paternity Testing
CDT UIFSA Establishment Package
CDU UIFSA Rev/Mod Waiver
CDV UIFSA Rev/Mod Registration Compliant
CDW UIFSA Rev/Mod Order to Register
CDX UIFSA Rev/Mod Petition to Adopt
CDY UIFSA Rev/Mod Order
CDZ Contempt Package – Admin. Order / Current Support
CEA Contempt Package – Admin. Order / Medical Support
CEB Contempt Package – Motion for Failure to Maintain QMSCO
CEC Certificate of Service / FIDM Lien/Levy Order Package
CED Petition for Hearing Regarding Financial Institution Lien Package
CEE Waiver of DNA Testing
CEF Contempt Motion for Failure to Pay Support or Health Insurance
CEG Show Cause Order for Genetic Testing Contempt
CEH Contempt Motion For Failure To Secure Health Insurance
CEI Contempt Motion For Genetic Testing
CEJ Petition to Adopt Agency Recommendation
CEK Notice of RevMod Court Hearing
CEL Notice of Modification
CEM Acknowledgement of Service and Waiver of Jurisdiction and Notice
CEN Rev/Mod Contempt Petition
CEO Contempt Court Worksheet
CEP Establishment Court Worksheet
CEQ Rev/Mod Court Worksheet
CER Revive and Contempt on Temp Order
CES Motion to Revive Order
CET Motion to Reduce UPA Debt
CEU Motion to Set Aside Judgment
CEV Motion to Dismiss Chapter 13
DRA PA Debt Letters to NCP – Initial – No Payments – Regular Payments – Pilot Offices Only
DRB Administrative and Judicial Order Cover Letters – Pilot Offices Only
DRD PA Written Request to Reduce UPA Debt – Pilot Offices Only
DRE State Debt Reduction Plan Checklist – Pilot Offices Only
DRF PA Delinquency Notice – Pilot Offices Only
DRG PA Payment Tags – Pilot Offices Only
DDR CP Direct Deposit Request
DDX CP Direct Deposit Form Returned
DVF Daycare Verification Form
EIP EIP Letter - unable to reach NCP
FAA Recoupment Agreement – NCP
FAC Recoupment Agreement – CP
FAD Dishonored Check Notice
FAF Acknowledgement of Hearing Request For Tax Offset Use Only
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STARS Documents
Sorted by Name
Name Description of Form
FAH Approve Hold Disposition Request
FAP Payment Redirect Notice to NCP
FAR Recoupment Notice to NCP
FBC OFS Request for Bank Credit for Paid DCSS Check
FBI Recoupment Balance Increase Notice
FBP Employer Redirect to FSR 1
FBQ Employer Redirect to FSR 2
FBR Employer Redirect to FSR 3
FCA
FCC Check Returned by County and Disposition Advice - Form 307
FCD DCSS Check Copy Request Form
FCE Certified Payment Request Form
FCF Check Pull Form
FCK Personal Check Refusal Letter
FCP Reversal of Recoupment Liability
FCR Recoupment Notice – CP
FCS Recoupment Hearing Request
FCT CP Overpayment Notice
FDF DCSS/ESS Communication Form
FDR Disposition Of Receipt
FED Dishonored Payment Letter to Employer
FHD Hand Drawn Request Form
FHH Fatherhood Invitation Letter (Spanish version of FHI)
FHI Fatherhood Invitation Letter
FHJ Fatherhood Transition Notice
FHN Fatherhood Non-Participation Letter
FHR Response to NCP contesting IDO issued by DCSS
FIL FIDM Notice of Lien/Levy
FIN FIDM Institution Information Letter
FIW Income Withholding Order For Support
FIX Income Withhold-Future Dates
FJR FTX Injured Spouse Letter For Tax Offset Use Only
FLA CP Recoupment Due FSR / Loss ADJ
FLC Lost Check Report
FLD Lien/Levy Decision Challenge
FLR Lien Release/Revision Notice
FNC Lien / Levy Notice to Account Holder
FNO DFCS Notification of Order
FNP NCP Recoupment Liability
FOR Recoupment Letter – Intergovernmental
FPT Payment Tags
FRL FTX/STX Notice of Refund For Tax Offset Use Only
FRM NCP Overpayment Notice
FRN Custodian Misdirected Payment Notice
FRR Notice Of Opportunity To Renegotiate Recoupment
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STARS Documents
Sorted by Name
Name Description of Form
FSE NCP Referred for ARRA Job
FSJ STAX Injured Spouse Letter For Tax Offset Use Only
FSK STAX Injured Spouse Request Acknowl For Tax Offset Use Only
FSO $TARS Stop Payment Request for DCSS Check
FSP Stop Payment Letter to CP
FSR FSR Stop Payment Notification Form
FTA Federal Tax Adjustment Form
FXP Notice of Dishonored Payment
FZZ Payment Notice
GTR Abandonment Court Genetic Test Referral Form
HCL HIPAA Letter to CP/NCP
HEL HIPAA Letter to Employer
HHA HIPAA Notice of Privacy Practices - NCP
HHB HIPAA Notice of Privacy Practices – CP
HRS OSAH FORM 1 - Hearing Request Summary
IAC Payment Redirect Notice to Other State
IAK Intergovernmental Certification Letter
IAL Intergovernmental Administrative Lien
IAM Central Registry Status Letter to the Other State
ICC Closure Notice Intergovernmental
ICA UIFSA Request to PAC to Pay $50 DA Fee
ICO Intergovernmental Notice of Determination of Controlling Order
Link to Intergovernmental Notice of Determination of Controlling Order Instructions
IET Intergovernmental Transmittal 1
Link to Intergovernmental Transmittal 1 Instructions
IEU Intergovernmental Transmittal 2
Link to Intergovernmental Transmittal 2 Instructions
IEV Intergovernmental Transmittal 3
Link to Intergovernmental Transmittal 3 Instructions
IFL Intergovernmental Authorization Request to Use FPLS
IGT Intergovernmental General Testimony
Link to Intergovernmental General Testimony Instructions
IIS Intergovernmental Status Letter: GA NCP
ILD Intergovernmental Locate Data Sheet
Link to Intergovernmental Locate Data Instructions
IMC Central Registry Memo to Field Office of Change of CP
IMO Central Registry Memo to Field Office of Existing Case
IMT Multiple Intergovernmental Transmit
INC Intergovernmental 60-Day Closure Letter
IND Intergovernmental Nondisclosure Form
IPA Intergovernmental Paternity Affidavit
Link to Intergovernmental Paternity Affidavit Instructions
IRS Intergovernmental Status Letter: GA CP
IRV Intergovernmental Registration Statement
Link to Intergovernmental Registration Statement Instructions
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STARS Documents
Sorted by Name
Name Description of Form
ITS Intergovernmental Subpoena
Link to Intergovernmental Subpoena Instructions
IUP Intergovernmental Uniform Support Petition
Link to Intergovernmental Uniform Support Petition Instructions
IWS Central Registry Coversheet
LAF Military – Air Force
LAR Military – Army
LAV CP Locate Update Letter With Table to Return Information
LCA TANF Locate Letter to CP ($TARS Appt Scheduling)
LCC Continuing Services Notice to CP
LCF Closure Request Form – CP
LCG Military – Coast Guard
LCM CP Application With Merge Fields
LCN NCP Application With Merge Fields
LCP Postal Verification – Custodial Parent
LCR Corrections Letter
LCS Request for Information or Closure
LCT CP/PCA Non-cooperation Closure
LDL Letter to DOL – NCP Wages
LEU Utility Locate Letter
LEV Employment Verification Letter - Non Custodial Parent
LEW Employment Verification Letter - Custodial Parent
LHS Mental Health Letter
LLK CP Lack of Knowledge Affidavit
LMA Military – Marines
LML Military – General
LNA Not in use at this time
LNS CP Notice of Services & Application - TANF/Medicaid
LNT CP Notice of Services – TANF/MAO (Spanish version of LNS)
LNV Military – Navy
LPO Postal Verification – NCP
LPR Parole / Probation Letter
LRM Obsolete – refer to FormLNS
LRS Reinstate Benefits Letter to DFCS
LRV Request Death Certificate from Vital Statistics
LSA Termination of Benefits Request – DFCS
LSC School Letter Veterans Benefits
LSE TANF/MAO Final Termination Letter to DFCS County and Regional Director
LXX Appointment Letter, Guidelines CP/NCP ($TARS Appt Scheduling)
L01 THRU L20 FREE FORMS
MAA Case Closure Checklist
MAC Closure Notice-NCP
MAD Fatherhood 1st Appt Letter
MAM Closure / Payment Change Notice-NCP
MCA Response CP Req to Withdraw Assign
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STARS Documents
Sorted by Name
Name Description of Form
MCB Employer Ltr - CP Withdrew Assignment
MCC Closure Notice to CP
MCD Acknowledgment of CP Withdraw Right
MCE NCP Notice of CP Withdraw Right
MCF Notice of Enforcement Termination CP
MCL Acknowledgment - NCP Withdraw Right
MCM Employer Ltr – NCP Withdrew Assignment
MCO Final Closure Notice to CP
MCP Portal Application Closure Letter
MDL Local Office Deficiency Letter
MEC Closure Notice to CP – Child emancipated before paternity est.
MFN License-Deny / Suspension Intent Final Letter
MID Obsolete due to DDS Automation
MIS Notice of Intent - Professional, etc
MIT Multiple Requests for Information Letter
MLN Notice: Late Request for Hearing
MNC 60 day Closure Notice – CP
MNL License Notice of Non-compliance
MNR Notice to Release Vehicle TAG / Registration
MNS Notice to Suspend TAG / Registration
MPC Prison 60 Day Closure Notice
MRA Enforcement Deferral - License Suspension
MRB DNR Enforcement Deferral
MRL License release Notice Agency / NCP
MWC Most Wanted Information Packet
NAA Non IV-D Family Support Registry Notification Letter - CP
NAB Non IV-D Family Support Registry Notification Letter – NCP
NAC Closure (TANF) CP Response Letter
NAD CP Notice To Pick Up Check
NAE CP Notice Contact Re: Stop Check
NAF Collect Agency / Attorney Letter – TANF CP
NAG Letter to employer following new information
NAP Non-IVD Letter to NCP
NCA CP/PCA Non-cooperation
NCB NCP Outstanding Debt/Fee Letter
NCC CP Outstanding Debt/Fee Letter
NCD NCP Escrow Agreement Letter
NCE Emancipation Letter – CP
NCG Garnishment - NCP Advance Notice
NCP Non-IVD Letter to CP
NDA Arrears Only Intent to Increase Repayment
NDL Intent to Increase Arrears Repayment – Current Support
NEM Employer Medical Information Letter
NFA Collect Agency / Attorney-TANF Arrears Letter
NFR Fraud Referral Form – TANF
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STARS Documents
Sorted by Name
Name Description of Form
NFX Tax Intercept Hearing Notice – NCP
NIA Military Involuntary Allot Notice
NIC Notice of Intent to Close Case
NID Medical 85 Day notice
NIE National Medical Insurance Enroll Notice – Employer
NIF Medical Insurance Not Available Notice – Vendor
NIL Medical Insurance Obtained – CP Notice
NIM Medical DEERS Coverage – CP Letter
NIN Medical NCP Advance Enroll Notice
NIR Payment Inquiry Letter / Forms – CP
NLA FiFa Affidavit
NLB Lien Attachment Packet
NLL FiFa Cancellation – Clear Letter
NLR FiFa Lien – Clerk Letter
NLX Lien Release – Clerk
NMC Medical Support Checklist
NNA Arrears Appt – NCP
NNC Arrears Notice – 30 Day Delinquency Letter
NNP Payor Notice – Employer Packet
NPA NCP Settlement Letter Mailed
NPB CP Completed Registration For Services
NPP Notice of Privacy Practices – English
NPQ Notice of Privacy Practices (Spanish version of NPP)
NRA Payment Redirect-Case reopen-CP/NCP
NRL NCP Redirect Letter
NRS IDO Stmt of Rights – NCP
NRT NCP Overpayment Notice
NRW Garnishment or Withhold/Deliver Release
NSA SSA Benefit Verification Letter
NSR Employer Status Letter
NST NCP Multi-Purpose Status Letter
NSW Notice of Garnishment
NUS Application for Collection of Delinquent CS Payments
NVA Veterans Benefits Inquiry Letter
NWA Withhold/Deliver Advance Notice
NWD Withhold/Deliver Administrative Order
NWS Legal Worksheet For Agent
PAS Request to Release Passport Hold
PCA CP Contracted with a PCA
PCB Notify NCP of PCA Services
PCN Deny CP Request for PCA
PFA Personal Financial Affidavit
PIL Notice of Lien to Insurance Company
POA Georgia Power of Attorney for Care of a Minor Child
PRL Personal and Real Property Lien
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STARS Documents
Sorted by Name
Name Description of Form
PSC NCP referral to Problem Solving Court
PSD Problem Solving Court Checklist
PSE PSC Community Agency Referral Form
PSF PSC Consent to Release Confid Inform
PSG PSC Drug Screening Consent Form
PSH PSC Job Search Consent Form
PSI PSC Non-Immigrant Affidavit
PSJ PSC Background Check Form
PSK PSC Weekly Action / Progress Form
PSL PSC Participant Staffing Sheet
PSM PSC CP Information Letter
RAC RevMod Request to Coordinate Reviews
RAD Judicial Notice of Amended Recommendation – New for 2011
RAF Response to RevMod Inquiry
RAH Obsolete and included in new RJD
RCL Status of Review and Modification
RCM Status of TANF Review and Modification – New for 2011
RCS Administrative Subpoena Request
RCT Administrative Transfer Cover Letter
RDD Administrative Agency Determination
RFA Request for Forgiveness Appointment
RFO RevMod Final Order Letters / NTP
RFP Notice of Modified Order
RFU Request for Forgiveness of UPA Debt
RFX Obsolete and included in new RJD
RIL Obsolete and included in revised RJA
RJA Judicial Notice of Review Packet
RJB Agency Recommendation - Judicial
RJC Administrative Notice of Review Packet
RJD Administrative Recommendation and Petition to Adopt packet – New for 2011
RJE Administrative: Notice of Amended Recommendation – New for 2011
RJF Administrative Late Request for Modification Hearing – New for 2011
RJT Judicial Transfer Cover Letter
RLC Personal Service Cover Letters
RRC Obsolete and included in revised RCL
RRE Obsolete and included in revised RJT
RRF Response to More Freq Rev Request
RRR Obsolete and included in revised RCL
RRU Obsolete and included in revised RAF
RRZ Obsolete and included in revised RCL
RSU Obsolete and included in revised RCL
RVA RevMod Verification of Order / Affidavit of Arrears
SAA NCP Obligation Appointment – TANF
SAB NCP Abandonment Referral
SAI Incarcerated AF Letter to the Warden / Inmate & Paternity Statement
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STARS Documents
Sorted by Name
Name Description of Form
SAP Incarcerated Paternity Establishment Fatherhood Appointment
SAT NCP Genetic Test Results Appt
SAX Genetic Test Exclusion Letter to CP / NCP
SBB NCP Obligation Appointment – NTANF
SCC NCP Obligation Appointment – MEDICAID
SCR Certification NCP Pmts to 3rd Party
SDD NCP Paternity Statement
SEE NCP Income Withholding Order Appointment
SEO Sheriffs Entry of Service Pre-print data
SEP Sheriffs 2nd Original Service Letter
SES Sheriff/Process Server Entry of Service
SFO Foster Care Update to DFCS
SFP Juvenile Court Case Update w/ Form 123
SGG Good Cause Decision – CP
SHH CP Letter & App – NCP Applied Services
SII Paternity Affidavit – CP
SLL CP Appt Letter – Affidavit of Non Support
SMM NCP IV-D Cover Letter Application for Services
SNA Payment Instructions Form
SNC Settlement Negotiation Consent Form
SNN NCP Application Status Letter
SOA CP Notice – Pmt Through DCSS
SOB Renamed - See FormSOG
SOC Non-Parent / Grandparent Services Letter
SOD Copy of Order letter – NCP
SOE Copy of Order letter to CP
SOF Form 713G / Grandparent Referral Form
SOG DFCS Paternity/Order Info
SON NCP/CP Ltr w/copy of Order – NTANF
SOS Chain of Custody for Gen Testing
SOT Genetic Testing Letter to CP and NCP
SOW NCP/CP Ltr w/copy of Order – TANF
SPL CP Portal Housing Letter
SPP Transfer Letters – NCP/CP
SRR CP Medicaid Appt Letter with Application
SSQ CP Status Update (Spanish version of SSR)
SSR CP Status Update
SSS Appointment Letter – NTANF CP
SST Appointment Letter – NTANF CP (Spanish version of SSS)
STC Transfer Form – Intra-state
STT Appointment Letter – TANF CP
SXR STAX NCP Refund Request
TXH Tax Offset OSAH FORM 1
TXN Tax Offset Hearing Request Notice
TXS Tax Offset Hearing Dismissal Request
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STARS Documents
Sorted by Name
Name Description of Form
TXW Notice to Settle with NCP
UAF USAO Referral w/CP Authorization
UEA UIFSA Acknowledgement to Initiating State
UED Central Registry Acknowledgement with Deficiency
UGS UIFSA Acknowledgement Locate status Letter
VRR Vital Records Paternity Acknowledgement Request Form
WDR Data Reliability Form - SCR Done
WWN Advance Notice of FIW and Legal Action
ZZZ Certificate of Authenticity for License Denial or Suspension
Spanish Translated Versions of DocGen Forms
ADM Application Deficiency Letter (Spanish version of ADL)
FHH Fatherhood Invitation Letter (Spanish version of FHI)
LNT CP Notice of Services – TANF/MAO (Spanish version of LNS)
NPQ Notice of Privacy Practices (Spanish version of NPP)
SSQ CP Status Update – (Spanish version of SSR)
SST Appointment Letter – NTANF CP (Spanish version of SSS)
Forms Other Than DocGen That Are Used InFrequently
Back_to_School_Settlement_Letter.doc $TARS Sample Letter
Back_to_School_Settlement_Week_Instructions.doc
Back_to_School_Settlement_Week_Preparation_Flyer1.doc
Back_to_School_Settlement_Week_Preparation_Flyer2.doc
Customer Inquiry Form
Settlement_Week_Preparation_Checklist.xls Excel Checklist
90f0a8c2-5ad2-448f-b289-f179cf5453c2.doc V-239 Revised 10/27/2011