You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
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UIA-1043A | Registration for State Information Data Exchange System (SIDES) E-Response | 01/01/2022 |
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DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
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DDD-1857A | Residential Services Option Comparison | 12/01/2021 |
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DDD-1857A-S | Comparación de opciones de servicios residenciales | 12/01/2021 |
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AAA-1381A | Arizona Caregiver Coalition Quarterly Summary Report | 12/01/2021 |
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CCA-0041A | Fair Hearing Request | 11/01/2021 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
|
CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
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