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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DDD-1164A-S | Attendant Care Progress Notes (Spanish) | 08/01/2023 |
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DDD-1512A-S | Reconocimiento de Publicaciones e Información | 08/01/2023 |
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DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
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DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (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-1512A-LP | Acknowledgement of Publications/Information (Large Print) | 08/01/2023 |
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VR-1048A | About AZ Hires Vets! | 08/01/2023 |
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RRP-1015A-French | Statement of Understanding (French) | 08/01/2023 |
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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
Download | Number | Name | Effective Date |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
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OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
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UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
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DDD-1003A-S | Evaluación PASRR II | 01/01/2023 |
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RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
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HRP-1017A | Request to Terminate USDA Distribution Site | 01/01/2023 |
Download | Number | Name | Effective Date |
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Rehabilitation Council Annual Report 2013 | Governor's State Rehabilitation Council 2013 Annual Report | 12/01/2013 |
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30th Month Sep-2014 | 30th Month Report September Fiscal Year 2014 | 11/15/2013 |
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Statistical Bulletin October 2013 | Statistical Bulletin October 2013 | 11/14/2013 |
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30th Month Aug-2014 | 30th Month Report August Fiscal Year 2014 | 10/30/2013 |
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Statistical Bulletin September 2013 | Statistical Bulletin September 2013 | 10/15/2013 |
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WIA 2012 Annual Report | Arizona PY12 WIA Title IB Annual Report | 10/01/2013 |
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Statistical Bulletin August 2013 | Statistical Bulletin August 2013 | 09/12/2013 |
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DES Welfare-2013 | Annual Welfare Reform Report 2013 | 09/09/2013 |
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Tribal Consultation Report 2013 | Tribal Consultation Report 2013 | 09/04/2013 |
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Statistical Bulletin July 2013 | Statistical Bulletin July 2013 | 08/15/2013 |
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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