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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RRP-1015A-Russian | Statement of Understanding (Russian) | 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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RRP-1015A-S | Statement of Understanding (Spanish) | 08/01/2023 |
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GCI-1171A | IFSP AzEIP Programmatic Meeting | 07/25/2023 |
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Statistical Bulletin June 2023 | Statistical Bulletin June 2023 | 07/25/2023 |
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GCBVI 2022 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2022 | 07/20/2023 |
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CCA Applications & Denials Report | Child Care Assistance Applications and Denials Report | 07/07/2023 |
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GCI-1164A | FFY 2021 Tier Definitions and Correction Requirements | 07/07/2023 |
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FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
Download | Number | Name | Effective Date |
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DDD-2069A-S | DDD Eligibility Packet (Spanish) | 11/01/2022 |
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LCR-1005A | Notice of Inspection Rights (English) | 10/01/2022 |
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GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
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DDD-1747A-S | Contrato De Residencia Para Las Residencias De Vivienda Asistida (ALF) | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
Download | Number | Name | Effective Date |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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FAA-1375A | Nutrition Assistance Posters | 04/01/2019 |
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AAA-1316A | SNAP-O Partnership | 04/01/2019 |
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UIT-1191A | Bulk UI Tax Rate Request Process and Information | 04/01/2019 |
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CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
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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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