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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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
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DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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DDD-1164A-S | Attendant Care Progress Notes (Spanish) | 08/01/2023 |
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VR-1048A | About AZ Hires Vets! | 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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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
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FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 08/01/2023 |
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ADDPC-2224A | Pathways to the Future: Transition Plans | 08/01/2023 |
Download | Number | Name | Effective Date |
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RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
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DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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AAA-1346A | Medical Need Verification | 12/01/2022 |
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AAA-1346A-S | Verificación de Necesidad Médica | 12/01/2022 |
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DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
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LCR-1000A | Agency Compliance Audit Checklist | 12/01/2022 |
Download | Number | Name | Effective Date |
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TANF Report October 2011 | TANF State Plan Effective October 1, 2011 | 02/25/2014 |
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30th Month December 2014 | 30th Month Report December Fiscal Year 2014 | 02/24/2014 |
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Annual Report 2012-2013 | 2012-2013 DES Annual Report | 02/06/2014 |
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Statistical Bulletin December 2013 | Statistical Bulletin December 2013 | 02/03/2014 |
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30th Month Nov-2014 | 30th Month Report November Fiscal Year 2014 | 01/28/2014 |
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2013 Homeless Lottery Funds Report | 2013 Homeless Lottery Funds Report | 12/30/2013 |
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Annual Report on Homelessness 2013 | 22nd Annual Report on Homelessness December 2013 | 12/30/2013 |
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Five Year Strategic Plan SFY 2015 - 2019 | Five Year Strategic Plan SFY 2015 - 2019 | 12/20/2013 |
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30th Month Oct-2014 | 30th Month Report October Fiscal Year 2014 | 12/19/2013 |
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Statistical Bulletin November 2013 | Statistical Bulletin November 2013 | 12/13/2013 |
Download | Number | Name | Effective Date |
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Arizona County Demographics Handbook 2020 | Arizona County Demographics Handbook 2020 | 12/22/2020 |
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SNA-1060B | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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SNA-1060C | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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RSA-1242A | Vocational Rehabilitation Transition | 12/01/2020 |
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RSA-1242A-S | Transición con la Rehabilitación Vocacional | 12/01/2020 |
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SNA-1060A | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 12/01/2020 |
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RSA-1242A-SLP | Transición con la Rehabilitación Vocacional (Letra Grande) | 12/01/2020 |
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CSE-1051A | How to Apply for IV-D Child Support Services (English) | 11/01/2020 |
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CSE-1051A-S | How to Apply for IV-D Child Support Services (Spanish) | 11/01/2020 |
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