You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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DBS-1085B | AZ ABLE Card (English) | 06/01/2023 |
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DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
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FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
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FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
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FAA-1788A | Proof of Eligibility Card | 06/01/2023 |
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FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-195-SFF | Affidavit as to Forged Endorsement (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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WIO-1160A | WIOA Title I-B Adult Worker Program Eligibility Checklist (English) | 05/01/2022 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
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WIO-1160B | WIOA Title I-B Dislocated Worker Program Eligibility Checklist (English) | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
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GCI-1021A-S | Plan Individualizado de Servicio Familiar - Paquete | 04/01/2022 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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ESA-1303A | Job Order | 04/01/2022 |
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