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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FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
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FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
Download | Number | Name | Effective Date |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
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RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
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DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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UIT-1190A | UI Tax Online Reporting | 03/01/2019 |
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FAA-1700A | SAW Contact Card | 02/01/2019 |
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DDD-1945A | Support Coordination and You (English) | 01/01/2019 |
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DDD-1945A-S | Support Coordination and You (Spanish) | 01/01/2019 |
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HPY-330 | Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF | 12/01/2018 |
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DDD-1732A-S | Incontinence Briefs for Adults 21 Years and older (Spanish) | 11/01/2018 |
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DDD-1732A | Incontinence Briefs for Adults 21 Years and older (English) | 11/01/2018 |
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DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
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AAA-1167A | Legal Assistance for Older Arizonans | 08/01/2018 |
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AAA-1167A-S | Asistencia Legal para los Arizonenses de la Tercera Edad | 08/01/2018 |
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