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-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
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FAA-1513A | Time Saving Tips | 07/01/2023 |
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FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1513A-S | Consejos para Ahorrar Tiempo | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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FAA-1513A-SLP | Consejos para Ahorrar Tiempo (Letra Grande) | 07/01/2023 |
Download | Number | Name | Effective Date |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
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LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
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LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
Download | Number | Name | Effective Date |
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Annual Report 2004-2005 | 2004-2005 DES Annual Report | 01/05/2006 |
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Service Integration | Service Integration: A Partnership for Safe and Stable Families in Arizona | 01/05/2006 |
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TANF Report 2005 | TANF State Plan Effective 2005 Amended February 2007 | 10/01/2005 |
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Annual Report 2003-2004 | 2003-2004 DES Annual Report | 01/27/2005 |
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Annual Report 2002-2003 | 2002-2003 DES Annual Report | 02/02/2004 |
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Annual Report 2001-2002 | 2001-2002 DES Annual Report | 12/31/2002 |
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Annual Report 2000-2001 | 2000-2001 DES Annual Report | 01/18/2002 |
Download | Number | Name | Effective Date |
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DDD-1551A-Flyer | Medallion Program Flyer (English/Spanish) | 10/01/2019 |
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WIO-1127B | Probation Officer Referral | 10/01/2019 |
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AAA-1138A | Community Action Services | 09/01/2019 |
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RSA-1385A | BEP Guide for New VR Clients | 09/01/2019 |
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Escalation Criteria for Contract Action Unit Review | Escalation Criteria for Contract Action Unit Review | 08/26/2019 |
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POU-003 | Notice to Employees (English) | 08/01/2019 |
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POU-003-S | Notice to Employees (Spanish) | 08/01/2019 |
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UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
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UIB-1241A-S | Take Care of Unemployment Business by the Internet or Telephone (Spanish) | 08/01/2019 |
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CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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