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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UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
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GCI-1194A | You can be a Developmental Special Instructionist (English) | 02/01/2024 |
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LCR-1023A-S | Life-Safety Inspection Report (Spanish) | 02/01/2024 |
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GCI-1195A | You can be a Service Coordinator (English) | 02/01/2024 |
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GCI-1196A | You can be an Early Childhood Special Educator (English) | 02/01/2024 |
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DCAD-1004A | Self-Employment Income Statement (English) | 02/01/2024 |
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DDD-2244A | DDD Eligibility for Children Birth to Three Years (English/Spanish) | 02/01/2024 |
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FAA-0001A-S | Application for Benefits (Spanish) | 02/01/2024 |
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HRP-1037A-S | Commodity Senior Food Program (CSFP) Recertification Notice (Spanish) | 02/01/2024 |
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DDD-0465A-S | Arizona Long Term Care System (ALTCS) Member Handbook (Spanish) | 02/01/2024 |
Download | Number | Name | Effective Date |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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DDD-2236A | Qualified Vendor Application Approval (English) | 08/01/2023 |
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DDD-1512A-SLP | Reconocimiento de Publicaciones e Información (Letra Grande) | 08/01/2023 |
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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
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AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
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DDD-1164A-S | Attendant Care Progress Notes (Spanish) | 08/01/2023 |
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AAA-1240A | Disease Prevention and Health Promotion Services Quarterly Summary Report | 08/01/2023 |
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GCI-1164A | FFY 2021 Tier Definitions and Correction Requirements | 07/07/2023 |
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FAA-1415A-SLP | Illegal Drug Use Statement - Large Print (Spanish) | 07/01/2023 |
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FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
Download | Number | Name | Effective Date |
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30th Month March 2020 | 30th Month Financial Report FY 2020 through March 2020 | 06/05/2020 |
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30th Month February 2020 | 30th Month Financial Report FY 2020 through February 2020 | 04/23/2020 |
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Statistical Bulletin March 2020 | Statistical Bulletin March 2020 | 04/15/2020 |
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Statistical Bulletin February 2020 | Statistical Bulletin February 2020 | 03/31/2020 |
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30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
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SFMNP-WIC-FMNP | Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual | 03/03/2020 |
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Statistical Bulletin January 2020 | Statistical Bulletin January 2020 | 02/28/2020 |
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30th Month December 2019 | 30th Month Financial Report FY 2019 through December 2019 | 02/14/2020 |
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Statistical Bulletin December 2019 | Statistical Bulletin December 2019 | 02/04/2020 |
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6AAC14 | Five-Year Review Report - Food Stamps Program | 02/04/2020 |
Download | Number | Name | Effective Date |
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FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
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FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
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FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
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FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
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GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
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FAA-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
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FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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