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Arkansas Better Chance Program | Forms

Arkansas Better Chance Forms

Title Type Posted Date
Waiver Request DOC 08/25/2016
Data Specialist Evaluation DOC 08/25/2016
Enrollment Application Checklist DOC 08/25/2016
Expenditure Report Certification DOC 08/25/2016
Program Specialist Evaluation DOC 08/25/2016
Earned Income Verification DOC 08/25/2016
ABC Program Manual PDF 08/01/2016
Budget Amendment Request XLS 08/01/2016
Child Enrollment Checklist DOC 08/01/2016
Compliance Audit Form Center Based DOC 08/01/2016
Final Expenditure Report XLS 08/01/2016
Income Eligibility Guideline PDF 08/01/2016
Mid Year Expenditure Report XLS 08/01/2016
Sliding Fee Scale PDF 08/01/2016
ABC Rule and Regulation Clarifications DOC 09/01/2015
Child Application DOC 09/01/2015
Compliance Audit Form Home Based DOC 09/01/2015
COPA Security Agreement DOC 09/01/2015
Family Eligibility Application DOC 09/01/2015
Health Screening Form Spanish DOC 09/01/2015
Health Screening Form DOC 09/01/2015
Income Eligibility Work Sheet DOC 09/01/2015

Staff

Title Type Posted Date
Application for Staff Qualifications Plan DOC 08/25/2016
Staff Qualifications Plan of Study DOC 08/01/2016
Staff Qualifications Plan Progress Report DOC 08/01/2016

Related Documents

Title Type Posted Date
Waiver Request DOC 08/25/2016
Data Specialist Evaluation DOC 08/25/2016
Enrollment Application Checklist DOC 08/25/2016
Expenditure Report Certification DOC 08/25/2016
Program Specialist Evaluation DOC 08/25/2016
Earned Income Verification DOC 08/25/2016
ABC Program Manual PDF 08/01/2016
Budget Amendment Request XLS 08/01/2016
Child Enrollment Checklist DOC 08/01/2016
Compliance Audit Form Center Based DOC 08/01/2016
Final Expenditure Report XLS 08/01/2016
Income Eligibility Guideline PDF 08/01/2016
Mid Year Expenditure Report XLS 08/01/2016
Sliding Fee Scale PDF 08/01/2016
ABC Rule and Regulation Clarifications DOC 09/01/2015
Child Application DOC 09/01/2015
Compliance Audit Form Home Based DOC 09/01/2015
COPA Security Agreement DOC 09/01/2015
Family Eligibility Application DOC 09/01/2015
Health Screening Form Spanish DOC 09/01/2015
Health Screening Form DOC 09/01/2015
Income Eligibility Work Sheet DOC 09/01/2015

Staff

Title Type Posted Date
Application for Staff Qualifications Plan DOC 08/25/2016
Staff Qualifications Plan of Study DOC 08/01/2016
Staff Qualifications Plan Progress Report DOC 08/01/2016

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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