You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
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DCAD-GRIEVANCES | Grievances Policy | 05/05/2023 |
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30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
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CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
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UIA-1057A-S | Información básica del Seguro por Desempleo de Arizona | 05/01/2022 |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
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UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
|
GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
|
GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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