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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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
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UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
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CSE-1158A | Request for Review of Arrears (English) | 10/01/2023 |
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CSE-1158A-S | Request for Review of Arrears (Spanish) | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
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RRP-1015A | Statement of Understanding | 10/01/2023 |
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FAA-1847A-S | Electronic Benefit Theft Replacement Request Form (Spanish) | 10/01/2023 |
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AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
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CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
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DDD-1620A | Home Modification Service Property Owner Authorization for Home Modifications | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
Download | Number | Name | Effective Date |
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SSBG Plan 2016-2017 | Social Services Block Grant Plan 2016-2017 | 07/01/2016 |
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Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
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30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
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30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
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SNA State Plan 2016 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2016 | 06/01/2016 |
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Statistical Bulletin April 2016 | Statistical Bulletin April 2016 | 05/10/2016 |
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WIA-1046A | Arizona PY 14 WIA Title I-B Annual Report | 05/01/2016 |
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Arizona PY 14 WIA Title I-B Annual Report | WIA 2014 Annual Report | 05/01/2016 |
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WIA 2014 Annual Report | Arizona PY14 WIA Title I-B Annual Report | 05/01/2016 |
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Statistical Bulletin March 2016 | Statistical Bulletin March 2016 | 04/13/2016 |
Download | Number | Name | Effective Date |
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VR-1032A | Frequently Asked Questions: Subminimum Wage Employment Requirements for 14 (c) Certificate Holders | 05/01/2022 |
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WIO-1163B | Attitude (SCC) | 05/01/2022 |
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WIO-1173A | Thank You Response | 05/01/2022 |
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AAA-1289A | Family Caregiver Support Program (English) | 05/01/2022 |
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WIO-1164A | Background Questions | 05/01/2022 |
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WIO-1173B | Thank You Response (SCC) | 05/01/2022 |
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AAA-1289A-S | Family Caregiver Support Program (Spanish) | 05/01/2022 |
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WIO-1164B | Background Questions (SCC) | 05/01/2022 |
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WIO-1174A | Veterans | 05/01/2022 |
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WIO-1166A | Do's and Dont's | 05/01/2022 |
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